Certificate Requirements Checklist

If you are human, leave this field blank.

Name (as you'd like it written on your certificate) *

First

Middle Name or Initial

Optional

Last Name *

Last Name

Email *

Post-graduation email address

Address *

Post-graduation mailing address

Address Line 2

City *

State *

Postal Code *

MHSL ID Number *

Which certificate(s) did you complete? *

J.D. Health Law Certificate

J.D. Health Care Compliance Certificate

Online Health Care Compliance Certificate for Working Professionals