You have now completed the registration form for myQIportal. Please read the information below. It will also be sent to you via email at the email address you provided in your application.

Your registration will be reviewed within 48 hours. Once reviewed, the Medical Academy Program Manager will create a user account for you to use myQIportal and you will receive a confirmation email from noreply@myqiportal.visualshare.com. Please adjust your email settings to ensure prompt delivery of this email to your inbox and not a SPAM folder. For any additional questions or inquiries, feel free to contact the Medical Academy Program Manager at kim.martinez@childrensmn.org or via phone at 612-759-9344.

To finalize your application by submitting payment, please click on the button below or go to bit.ly/2NR2iPW. You can pay with your credit card, but you will need to establish a PayPal username and password if you do not already have one.

If you need to pay by credit card but do not want to create a PayPal account, please contact Kia Kehrer at kia.kehrer@childrensmn.org or by phone at 952-992-5276.

If you must pay by check, please follow the instructions below.
If paying by check, please make sure you do all of the following:
1. Make check out to: Children's Healthcare
2. Input in memo line: STPL/140101/91032
3. Send checks to:
Midwest Regional CAC
CBC3- MWOUT
5901 Lincoln Drive
Edina, MN 55436

A copy of our W9 can be found at bit.ly/2Q5mFt5 for your reference.

Thank you for your commitment to continuing professional development.

myQIportal SA Registration for Medical Providers - 2019