acr.org
[ Log In ]
Group Participation Registration
*: Required
Group Information
Group Name Name of Practice*:
Group Full Name:
Category: Category:  Pediatric Group:Yes
Medical Director Information Last Name*:
First Name*:
Physician and practice locations Physicians*:
Individual practice locations:
(This is only for groups that wish to have peer reviewer data separated by locations
Address Line 1*:
Line 2:
City*:
State\Providence*:
Zip Code*:
Country:
Your Profile
User Name:
Last Name*:
First Name*:
Display Name:
E-mail*:
Confirm E-mail*:
Phone*:
Fax:

After successful registration, you should receive confirmation E-mails.
Please login with the information to edit and
complete the registration process. If you have experienced problems,
please contact ACR RADPEER Program (radpeersupport@acr.org).