myQIportal Registration Form - Sexual Abuse

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Thank you for your interest in myQIportal, an American Board of Pediatrics Approved Quality Improvement project brought to you by the Midwest Regional CAC and Children's Minnesota. The intent of the project is to improve documentation and diagnostic accuracy of child sexual abuse evaluations. This program is not to be used as a second opinion and is only for quality improvement.

Please complete this registration form so that we may enroll you. Your answers will be used to determine your eligibility to participate. Your answers also may be used for quality improvement assessment; if so, your identity will remain anonymous. This registration form should take no more than 10 minutes to complete.

This registration form should only be completed by the medical professional intending to use this program.
Program Conditions

Unfortunately, unless you are able to meet the above requirements of the program, you will not be able to participate. 

Please exit from this registration form. Do not click Submit.

We invite you to check out other programming at 
Contact Information

Experience and Background

How competent are you in the following skills?
Not competent Somewhat competent Competent Very competent
How much do you agree with the following statements?
Do not agree Somewhat agree Mostly agree Agree


After you click on Submit below, you will need to click on the PayPal button to pay for your subscription. Your registration will not be considered final until payment is received.