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	If not in US or Canada, please select International.
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ASHA License #
Please refer to information posted on our website about this course to see if it is offered for ASHA CEUs.
State License #
If your state issues a state license for PT or PTA, please provide it so that we may accurately record and report your contact hours/CEUs. You are encouraged to check the information provided on our website to determine whether this course is offered for PT/PTA contact hours/CEUs in your state.
Are you seeking ASHA Approved CEUs?	YesNo
If you select YES, you must enter your CORRECT ASHA # and your FULL ADDRESS at the time of registration. Interactive Metronome cannot submit your CEUs without this information and is not responsible if you have entered a false ASHA # to bypass this step. By selecting NO, you have declined ASHA CEUs for this course. If this is an error and you wish to receive ASHA CEUs, please contact our Education Department @ 877-994-6776 Option 3 or education@interactivemetronome.com within 1 week for further assistance. Please include the title of the course and date of completion with your correspondence.