Home > Resources > APIC Text Online Institutional Subscription APIC Text Online Institutional Subscription Institution Information Institution Name* Institution Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Contact* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Contact Title* Contact Email* Contact Phone* Which of the following best describes your institution?* Ambulatory Surgery Center Healthcare System (multiple facility) Hospital Federal/ State Government Department or Agency For-Profit Corporation Nonprofit/ Charitable Organization Physician Practice Professional Association/ Society Public Library University/ College (includes nursing or medical schools) Other Please Specify Access Information Is there a specific group of individuals within your institution that you would like to have access to this resource? Yes No Third Choice Please Specify How many individuals are in this group (approx.)?* What type of access do you need?* Single Site (one facility) Multi-Site (multiple facilities in one system) How would you like individuals in your institution to access the APIC Text Online?* Standard access through http://text.apic.org using single username and password Custom access using unique URL to be posted on institution’s private Intranet (note: Internet access still required) Access using both username/password and URL Δ
