Diabetes Clinical Evaluation Program Registration Form
2025 registrations now OPEN
Note: Only current Clinical Labs referrers for HbA1c tests will be accepted for this program (i.e. Pre-requisite of 10 HbA1c test referrals in 2025 to join)
If you would like to be registered on this program for multiple practice locations, list all relevant Provider Number(s) in the field below
This form is for NEW registrations only
No need to register again if you are already on this program, unless you change medical practice location
New participants successfully registered will receive further email communications in February 2025
*AMA CPD Home: At successful program completion, AMA members will be provided with a Certificate to Self-Record.