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Home > Certification > Certification Verification

Practice Management Institute® Certification Number Request Form

Please fill out the form below and we will contact you promptly with your certification information or call 1-800-259-5562 to speak with us directly. Thank you.

Required fields are in red.


Certification Description:

PLEASE SELECT CERTIFICATION TYPE:  CMC  CMOM  CMIS  

CERTIFICATION NUMBER (if known):


GRADUATION DATE:


GRADUATION CITY:


GRADUATION STATE:


NAME (at time of graduation):


CURRENT NAME (if changed):


HOME ADDRESS:


HOME CITY:


HOME STATE:


HOME ZIP:


HOME PHONE:


HOME FAX:


PRIMARY EMAIL ADDRESS:


PRACTICE/ORGANIZATION:


WORK ADDRESS:


WORK CITY:


WORK STATE:


WORK ZIP:


WORK PHONE:


WORK FAX:


COMMENTS:
  
Certified Medical Coder (CMC) Certified Medical Insurance Specialist (CMIS) Certified Medical Office Manager (CMOM)

More than 12,426 PMI Certifications have been earned to date.

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