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Credentialing Course Registration

If you are a veterinarian or clinic staff member in the US, Canada, Australia, New Zealand, or Singapore then you may take the VetStem Credentialing at no cost. If you are a veterinarian in a country not listed above then you can APPLY FOR AN ACCOUNT and take the course for a $225 fee.

Veterinarian Credentialing Course Application
Required Fields *
First Name:*

Last Name:*

Title:*
Credentials (ie. DVM, DACVIM, etc):*

Species Treated:

State License Number (Optional):

License State (Optional):

Practice Type (multi select with ctrl):

Practice or Clinic Name:

Clinic Address: (No PO Box Numbers)* Please NO home addresses

Address 2 (Suite or Apt):

City:*

State or Province:*

   Zip or Postal Code:*

Country: (Currently available in the USA only)
Phone:*

Fax:

Email:* (This will be your Username Login)

Website Address: (ex: http://www.vet-stem.com)

Choose a Password:*

Confirm Password:*

Reason for taking course:*
How did you hear about the VetStem Small Animal Veterinarian Credentialing Course?
(please be as specific as possible, ie. conference name or journal/magazine name)



Comments or Questions:


I am a practicing Veterinarian licensed in the US or Canada
I am an academic Veterinarian licensed in the US or Canada
I am an academic Veterinarian NOT licensed in the US or Canada
I am a support staff person (please indicate specific title in comments section)

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