This form is used before meeting with a potential partner for joint providership. 1 Start 2 Activity Information 3 A few items for you to be aware of upfront 4 Complete The University of Idaho School of Health & Medical Professions, Office of Continuing Education is Jointly Accredited (JA) through the Accreditation Council for Continuing Medical Education (ACCME) in collaboration with other accrediting bodies under the Joint Accreditation framework. We provide interprofessional credits for activities that support collaborative healthcare team learning, as well as uni-professional credits tailored to individual professional needs.Please refer to the table below for the specific professional credit types we offer. For more details, visit the Joint Accreditation for Interprofessional Education website.We use this form to gather preliminary details about your activity in alignment with JA accreditation requirements. Once you submit this information, we will schedule a meeting to review and discuss your activity.Following the initial meeting, you will receive an approval notification letter with a list of associated fees along with a link to complete the full activity application. The University of Idaho, SHAMP Office of Continuing Education must take full responsibility for all aspects of this activity regardless of the providership, including financials and disclosures. All financials received by any involved provider must be disclosed in the final budget. Please note that we reserve the right to decline accreditation if the activity does not meet JA criteria or our internal policies.ProfessionCredit Type*PhysiciansAMA PRA Category 1TMNurse & Nurse PractitionerANCC (CNE credit)PAAAPA Category 1 CME CreditPharmacistsACPE Pharmacists (CPE credit)Pharmacy TechnicianACPE Technician (CPE credit)PsychologistsAPASocial WorkerASWB ACE CreditDietitian Registered & Dietetic Technician, RegisteredCDR CPEU CreditIf the activity is interprofessional (two or more of the above professions) IPCE CreditOther professionsContinuing Education Credit or Participation Credit*there may be additional requirements for offering professional credits which would be covered during an intake meeting. Activity Representative Contact InformationPlease list the person who is organizing the event and who will attend our intake meeting. This may be different than the person filling out the form. Name: * Organization: * Email: * Phone number: * Leave this field blank