By accomplishing this form, you consent to the collection of the following information:

· Name, PRC Number, Email, CP Number -to be used as proof of your attendance to the webinar/online course and will be submitted to PRC, PMA, and PAFP for their record keeping of CPD units gained

· Email address -to receive the post-test and evaluation links as well as the digital certificate

· Specialization, Title -to properly match our webinars and offerings according to your profession and specialization

· Location -to profile our attendees based on their geographic location and offer programs specific to their area

· Others -for UMED’s evaluation of the effectiveness of its promotional channels in reaching out to new participants.

This information will be housed in a secure database that only authorized UMED personnel can access. At any point in time, you have the right to access or correct this information by e-mailing us at umedonline.portal@gmail.com or umedonline.events@gmail.com. None of this information will be shared to any third party without your prior consent.