Chris Moore completed a course called DICOM Basics on September 15, 2015, earning 1.0 continuing education hours. The certificate number and signature are provided, and it is noted that this form should be retained for records and may be required if selected for an audit when renewing certification.

1. The VNA Institute of Technology On Demand Sessions
Chris Moore
has completed the course
DICOM Basics
on this day
September 15, 2015
Total CE hours earned: 1.0
_________________________________________________________
Certificate Number
_________________________________________________________
Signature
____________________________________________________________________________________
Do not send this form to HIMSS. Retain this form for your records.
You will need to provide a copy of this form if selected for an audit when renewing your certification
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