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Outside Credit Request Form

In order to receive credit for a non-PSIA-AASI event, we require an approval of the event in advance. The request must provide us with specific details of the event, its duration and provider. Eastern members may only earn up to 12 credits for non-PSIA-AASI clinics every other renewal cycle. 
Please fill out this form in entirety to be approved by the education department.
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