Healthcare CME Certificate Request Form
About this free form template

Streamline CME Certificate Requests with Paperform

Healthcare continuing medical education (CME) is essential for maintaining professional licensure and staying current with medical advances. Whether you're a hospital system, medical association, conference organizer, or training provider, managing CME certificate requests efficiently is critical to serving your healthcare professionals.

This Healthcare CME Certificate Request Form template helps you collect all necessary information—from license verification to credit hour calculations—in one professional, HIPAA-alternative compliant workflow. Built specifically for medical education coordinators, CME administrators, and healthcare training departments, this form automates what used to be a manual, error-prone process.

Why Paperform for CME Certificate Management?

With Paperform's conditional logic and calculation engine, you can automatically calculate credit hours based on course completion, verify license numbers against your database, and route requests to the appropriate accreditation bodies—all without coding. The doc-style editor lets you create an on-brand form that healthcare professionals trust, while the platform's SOC 2 Type II compliance gives you the security foundation serious medical organizations require.

Automate your workflow with Stepper: Once a certificate request is submitted, use Stepper to automatically generate personalized CME certificates, update your learning management system, notify accreditation bodies, and send completion records to state licensing boards. You can even trigger different approval workflows based on credit hours claimed or professional designation.

Add eSignatures with Papersign: Need attestations verified? Use Papersign to collect secure eSignatures on completion attestations or honor code statements, creating a complete audit trail for accreditation reviews.

Whether you're managing annual conferences with thousands of attendees, running monthly webinar series, or coordinating hospital-wide training programs, this template gives you a professional starting point that you can customize to match your specific CME requirements and accreditation standards.

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avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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