To register for MIPS, please provide the following information. Someone will contact you soon to complete the registration process. First Name * Last Name * Email * Phone * Practice Name * Speciality * Number of providers * How did you hear about us? * - Select -CMS List of RegistriesWeb SearchMy Society/AssociationEmail CampaignDirect MailReferred by a ColleagueOtherFor MIPS inquiries, email info@patient360.com or call 1-800-537-4473. Leave this field blank Register »