Ig Certified Pharmacist Recertification Application Step 1 of 3 33% IgCP® Recertification by Education RequirementsEnsure to maintain your prestigious IgCP® credentials by earning and documenting your recertification units (RU)! You will be required to submit proof of recertification units electronically prior to your IgCP® expiration date. Recertification Eligibility Requirements All recertification applicants must meet the following eligibility requirements: A current, active, unrestricted Registered Pharmacist (RPh) license in the United States or Canada. A minimum of 1,000 hours of experience in infusion therapy as an RPh within the past two years in the following areas: Pharmacy PracticeManaged careResearchEducationPharmaceutical/device industry IgCP Recertification by Continuing Education: Earn 40 RUs in a 3-year period 20 recertification units from each attended IgNS National Conference Up to 20 recertification units via any of the following options: Publish a manuscript on Ig therapy in a peer-reviewed journal (10 RU maximum) Develop and present a scientific session at an IgNS National Conference (8 RU maximum) Complete Continuing Education (CE) course(s) from the IgNS Educational Resources Center (20 RU maximum) Complete Continuing Education (CE) course(s) pertaining to Ig therapy from sources other than IgNS (5 RU maximum) Deliver immunoglobulin therapy-related education programs (5 RU maximum) Publish a chapter or edit an immunoglobulin therapy-related book (6 RU maximum) *IMPORTANT NOTE: A maximum of 10 recert units from sources other than IgNS can be applied to a recertification period. Multiple submissions of the same offering are not accepted. I understand the requirements for recertification by educational credits. Name* First Last Email* IgCP Number*RPh License Number*Current Employer InformationCurrent Employer*Phone*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Supervisor's DetailsName First Last PhoneEmail Which IgNS National Conference(s) did you attend?*You must have attended at least 1 IgNS National Conference during your certification period. If you took the exam at an IgNS National Conference, that event does not count towards your recertification units. Each IgNS Conference that you attended is 20 Recert Units, no matter how many CE were available at the conference. September 28- Oct 2, 2022; Washington, D.C. October 5-8, 2023; Denver, CO October 17-20, 2024; Washington, D.C. Total IgCP® RUUpload Documentation of Conference Attendance* Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 50 MB. Additional CE programsPlease list additional CE Programs you will to submit for IgCP® RU.Program NamesPlease list all additional programs you would like considered for IgCP® RU credit. Please list the name of the program, the location (where did you receive this CE) and how many CE's the program was.NameLocationCE Total for Additional CE ProgramPlease list the total of the additional CE programs here.Upload Documentation of Attendance* Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 50 MB. This field is hidden when viewing the formSection BreakThis field is hidden when viewing the formTotal CountCongratulations! You have recorded enough credits for recertification.
