How would you like your name to appear on your certificate?

Profession

How many credit hours did you complete?

Credit Hours (maximum: 1.0)

Agreement

By completing this form, you attest that you have attended the number of hours you have indicated above.

I agree

Please enter your American Board of Otolaryngology (ABOHNS) Board ID Number in the space provided.

By providing this information, you are giving Amedco permission to electronically transmit the data for credit reporting purposes. If you do not know your Board ID number, log into your physician portal at https://portal.aboto.org/ABOInternet/Physician, or call 713-850-0399 for assistance. We cannot upload credits without a valid Board ID.

Date of Birth - Month: Please select the number that represents the Month in which you were born (example: March is 03):

Date of Birth - Day: Please enter the day of the month on which you were born (example: if you were born on the 6th, please select 06).