Researchers | UAMS Institute for Digital Health & Innovation

The Institute for Digital Health & Innovation is chasing a dream of a bigger, better telemedicine infrastructure on which it’s programs can thrive. Funded by state and federal contracts, these achievements are not only measured in dollars and cents but also in the increasing number of unique, mutually beneficial partnerships. ANGELS’ leaders alone won more than $104,201,560 in grants and contracts in 2010, a landmark achievement in the history of the program, University, and state.

Research Service Request Form:

Name * Required
First Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
License State * Required
Pharmacists License # * Required
Additional States Licensed in & your Pharmacists License #
Date of Birth * Required
MM
DD
YYYY
NABP Profile ID * Required
This is not for your store NABP number, this is your CPE Monitor account number. If you have not yet registered for your NABP eProfile ID (also known as your CPE Monitor ID) please go to www.mycpemonitor.net to sign up.
Location you will be attending the program at: * Required
- Baptist NLR
- UAMS NW
- Jonesboro
If you are attending at the North Little Rock location, will you participate in the networking luncheon at a local restuarant immediately following the CPE activity?
- Yes
- No
Are you currently a residency preceptor? * Required
- Yes
- No
Phone
Email * Required

Research Service Request Form:

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