Registration - CEP - VMG Health

Certified Eyecare Professional (CEP)
$145 per applicant

Please submit the following information to register an applicant for Certified Eyecare Professional (CEP).
Your payment information will be requested on the following page.

Are you an existing BSM Connection for Ophthalmology Member?
Login to purchase CEP with your member discount

Organization Information

Organization Name *

Practice Admin First Name *

Practice Admin Last Name *

Practice Admin Email *

Mailing Address *

City *

State *

Postal Code *

Phone Number *

Fax Number

Are you a Member of ASOA? *

Yes

No

Applicant Information

Applicant Full Name *

Applicant Email *

Position/Job Title *

Additional Applicants (Name and Email)

How did you hear about us? *

Questions? Contact Customer Support

Certified Eyecare Professional (CEP) $145 per applicant

Certified Eyecare Professional (CEP)
$145 per applicant