New Account

Creating an account is quick and easy

It only takes a moment to create the account that will give you access to the TransforMED MHIQ, which benchmarks your practice against the TransforMED Medical Home Model and allows you to initiate a comparison of your MHIQ answers to the NCQA's PPC-PCMH™ Standards.

The basic information in the form below is all we request. Simply submit the completed form and a unique password will be emailed to you automatically.

Your Email
(Your password will be emailed to this address)
Prefix

First Name

Last Name

Your Title

Phone

Practice Name

Practice Size

City

State/Province

Postal Code/Zip

Country

What is your Specialty?

Are you an AAFP member?
		Yes No

Do you have at least 3 medical students assigned to your practice site each year for their core clerkship in family medicine?
		Yes No
If you have been assigned a project code, enter it below:

	It's quick and easy to sign up
	Save and review your scores and resources
	Save and return to where you left off
	Re-take modules and track your improvement in your Progress Log
	Set daily, weekly or monthly email reminders to stay on track with incomplete modules

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