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Physician"}]]}}},"tableDrag":{"field-custom-specialty-board-values":{"field_custom_specialty_board-delta-order":[{"target":"field_custom_specialty_board-delta-order","source":"field_custom_specialty_board-delta-order","relationship":"sibling","action":"order","hidden":true,"limit":0}]}}});</script> <!--[if lt IE 9]> <script src="/sites/all/themes/zen/js/html5-respond.js"></script> <![endif]--> </head> <body class="html not-front not-logged-in no-sidebars page-user page-user-register section-user title-length-small title-length-18 not-homepage no-tabs no-course-sidebar no-search-sidebar no-og-context no-uc-cart not-admin-theme user-non-sso" > <div id="wrapper"> <div id="page-wrapper"> <p id="skip-link"> <a href="#main-content" class="element-invisible element-focusable">Jump to navigation</a> </p> <div id="header-wrapper"> <header id="header"> <div id="header-inner" class="clearfix"> <a href="/" title="Home" rel="home" id="logo"><img 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href="https://baptisthealthgiving.net/Foundation/donatenow" title="" class="menu__link">Donate</a></li> </ul> </nav> </div><!--/#topnav-inner--> </div><!-- /#navigation --> <div id="crumbs"> <div id="crumbs-inner" class="clearfix"> <div id="breadcrumb-container"> <h2 class="element-invisible">You are here</h2><div class="breadcrumb"><a href="/">Home</a></div> </div> </div> </div> </div><!-- /#navigation-outer --> <div id="title-container"> <div id="title-container-inner" class="clearfix"> <h1 class="title" id="page-title">Create new account</h1> </div> </div> </div><!--/#header-wrapper--> <div id="page"> <div id="main-wrapper"> <div id="main"> <div id="content" class="column" role="main"> <a id="main-content"></a> <div id="content-area"> <div id="block-block-3" class="block block-block first odd"> <div class="content"> <div style="border-radius:15px; border:1px solid #dddddd !important; box-shadow:0 10px 15px 0 rgb(0 0 0 / 10%) !important; display:flex; flex-wrap:wrap; overflow:hidden"><div style="align-items:center; background-color:#ffcc00 !important; color:#e5554f !important; display:flex; flex-basis:100px; flex-grow:1; flex-shrink:1; font-size:48px; justify-content:center; padding:15px; text-align:center"><div><i class="fa fa-exclamation-triangle"></i></div></div><div style="flex-basis:300px; flex-grow:20; flex-shrink:1; padding:15px"><h3 style="margin-bottom:0px; margin-top:0px">Are you a healthcare professional licensed in Florida?</h3><p style="font-weight:bold; margin-bottom:20px; margin-top:0px">In order to ensure accurate reporting to CE Broker, please follow these additional instructions.</p><ul style="margin-bottom:0px; margin-top:0px"><li>The <strong>first, middle, and last name</strong> on your account must match the name on your license.</li><li>The <strong>profession</strong> on your account must match the profession on your license.</li><li>Your <strong>Florida license number</strong> must include <strong>your license prefix</strong> with <strong>no spaces</strong> and <strong>no leading zeroes</strong>.<ul><li><i class="fa fa-times-circle" style="color: #E5554F;"></i> <strong style="color:#e5554f">INCORRECT:</strong> ME<strong style="background-color:#ffff00"><u> </u></strong>12345, ME<strong style="background-color:#ffff00"><u>00</u></strong>12345, or 12345.</li><li><i class="fa fa-check-circle" style="color: #2EA84A;"></i> <strong style="color:#2ea84a">CORRECT:</strong> <strong>ME12345</strong></li></ul></li></ul></div></div> </div> </div> <form class="user-info-from-cookie" enctype="multipart/form-data" action="/user/register" method="post" id="user-register-form" accept-charset="UTF-8"><div><div id="edit-account" class="form-wrapper"><div class="form-item form-type-textfield form-item-name" aria-describedby="edit-name-description"> <div class="field-label"><label for="edit-name">Username</label> <span class="form-required" title="This field is required.">*</span></div> <div class="description" id="edit-name-description">Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.</div> <input class="username form-text required" autofocus="autofocus" type="text" id="edit-name" name="name" value="" size="60" maxlength="60" /> </div> <div class="form-item form-type-textfield form-item-mail" aria-describedby="edit-mail-description"> <div class="field-label"><label for="edit-mail">E-mail address</label> <span class="form-required" title="This field is required.">*</span></div> <div class="description" id="edit-mail-description">A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.</div> <input type="text" id="edit-mail" name="mail" value="" size="60" maxlength="254" class="form-text required" /> </div> <div id="account-pass-restrictions"><div class="item-list"><h3>Password Requirements</h3><ul><li class="first">Password must contain at least one uppercase character.</li> <li>Password must be at least 7 characters in length.</li> <li>Password must not contain the username.</li> <li class="last">Password must contain at least one digit.</li> </ul></div></div><div class="form-item form-type-password-confirm form-item-pass" aria-describedby="edit-pass-description"> <div class="description" id="edit-pass-description">Provide a password for the new account in both fields.</div> <div class="form-item form-type-password form-item-pass-pass1"> <div class="field-label"><label for="edit-pass-pass1">Password</label> <span class="form-required" title="This field is required.">*</span></div> <input class="password-field form-text required" type="password" id="edit-pass-pass1" name="pass[pass1]" size="25" maxlength="128" /> </div> <div class="form-item form-type-password form-item-pass-pass2"> <div class="field-label"><label for="edit-pass-pass2">Confirm password</label> <span class="form-required" title="This field is required.">*</span></div> <input class="password-confirm form-text required" type="password" id="edit-pass-pass2" name="pass[pass2]" size="25" maxlength="128" /> </div> </div> </div><fieldset class="form-wrapper" id="edit-profile-profile"><legend><span class="fieldset-legend">Profile</span></legend><div class="fieldset-wrapper"><div class="field-type-list-text field-name-field-name-prefix field-widget-options-select form-wrapper" id="edit-profile-profile-field-name-prefix"><div class="form-item form-type-select form-item-profile-profile-field-name-prefix-und"> <div class="field-label"><label for="edit-profile-profile-field-name-prefix-und">Prefix</label> </div> <select id="edit-profile-profile-field-name-prefix-und" name="profile_profile[field_name_prefix][und]" class="form-select"><option value="_none">- None -</option><option value="Dr.">Dr.</option><option value="Miss">Miss</option><option value="Mr.">Mr.</option><option value="Mrs.">Mrs.</option><option value="Ms.">Ms.</option><option value="Mx.">Mx.</option><option value="Prof.">Prof.</option></select> </div> </div><div class="field-type-text field-name-field-first-name field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-first-name"><div id="profile-profile-field-first-name-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-first-name-und-0-value"> <div class="field-label"><label for="edit-profile-profile-field-first-name-und-0-value">First name</label> <span class="form-required" title="This field is required.">*</span></div> <input class="text-full form-text required" type="text" id="edit-profile-profile-field-first-name-und-0-value" name="profile_profile[field_first_name][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-text field-name-field-middle-name field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-middle-name"><div id="profile-profile-field-middle-name-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-middle-name-und-0-value"> <div class="field-label"><label for="edit-profile-profile-field-middle-name-und-0-value">Middle name</label> </div> <input class="text-full form-text" type="text" id="edit-profile-profile-field-middle-name-und-0-value" name="profile_profile[field_middle_name][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-text field-name-field-last-name field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-last-name"><div id="profile-profile-field-last-name-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-last-name-und-0-value"> <div class="field-label"><label for="edit-profile-profile-field-last-name-und-0-value">Last name</label> <span class="form-required" title="This field is required.">*</span></div> <input class="text-full form-text required" type="text" id="edit-profile-profile-field-last-name-und-0-value" name="profile_profile[field_last_name][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-text field-name-field-preferred-pronouns field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-preferred-pronouns"><div id="profile-profile-field-preferred-pronouns-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-preferred-pronouns-und-0-value" aria-describedby="edit-profile-profile-field-preferred-pronouns-und-0-value-description"> <div class="field-label"><label for="edit-profile-profile-field-preferred-pronouns-und-0-value">Preferred pronouns</label> </div> <div class="description" id="edit-profile-profile-field-preferred-pronouns-und-0-value-description">Enter your pronouns as you would like others to refer to you. For example: she/her/hers, he/him/his, they/them/theirs, etc. You may skip this field if you prefer to not answer.</div> <input class="text-full form-text" type="text" id="edit-profile-profile-field-preferred-pronouns-und-0-value" name="profile_profile[field_preferred_pronouns][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-location field-name-field-profile-location field-widget-location form-wrapper" id="edit-profile-profile-field-profile-location"><div id="profile-profile-field-profile-location-add-more-wrapper"><fieldset class="location form-wrapper required" id="edit-profile-profile-field-profile-location-und-0"><legend><span class="fieldset-legend">Location</span></legend><div class="fieldset-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-profile-location-und-0-street"> <div class="field-label"><label for="edit-profile-profile-field-profile-location-und-0-street">Street</label> <span class="form-required" title="This field is required.">*</span></div> <input type="text" id="edit-profile-profile-field-profile-location-und-0-street" name="profile_profile[field_profile_location][und][0][street]" value="" size="64" maxlength="255" class="form-text required" /> </div> <div class="form-item form-type-textfield form-item-profile-profile-field-profile-location-und-0-additional"> <div class="field-label"><label for="edit-profile-profile-field-profile-location-und-0-additional">Additional</label> </div> <input type="text" id="edit-profile-profile-field-profile-location-und-0-additional" name="profile_profile[field_profile_location][und][0][additional]" value="" size="64" maxlength="255" class="form-text" /> </div> <div class="form-item form-type-textfield form-item-profile-profile-field-profile-location-und-0-city"> <div class="field-label"><label for="edit-profile-profile-field-profile-location-und-0-city">City</label> <span class="form-required" title="This field is required.">*</span></div> <input type="text" id="edit-profile-profile-field-profile-location-und-0-city" name="profile_profile[field_profile_location][und][0][city]" value="" size="64" maxlength="255" class="form-text required form-autocomplete" /><input type="hidden" id="edit-profile-profile-field-profile-location-und-0-city-autocomplete" value="https://cmeonline.baptisthealth.net/index.php?q=location/city/autocomplete/us" disabled="disabled" class="autocomplete" /> </div> <div class="form-item form-type-select form-item-profile-profile-field-profile-location-und-0-country"> <div class="field-label"><label for="edit-profile-profile-field-profile-location-und-0-country">Country</label> <span class="form-required" title="This field is required.">*</span></div> <select class="location_auto_country form-select required" id="edit-profile-profile-field-profile-location-und-0-country" name="profile_profile[field_profile_location][und][0][country]"><option value="">Select</option><option value="xx">NOT LISTED</option><option value="af">Afghanistan</option><option value="ax">Aland Islands</option><option value="al">Albania</option><option value="dz">Algeria</option><option value="as">American Samoa</option><option value="ad">Andorra</option><option value="ao">Angola</option><option value="ai">Anguilla</option><option value="aq">Antarctica</option><option value="ag">Antigua and Barbuda</option><option value="ar">Argentina</option><option value="am">Armenia</option><option value="aw">Aruba</option><option value="au">Australia</option><option value="at">Austria</option><option value="az">Azerbaijan</option><option value="bs">Bahamas</option><option value="bh">Bahrain</option><option value="bd">Bangladesh</option><option value="bb">Barbados</option><option value="by">Belarus</option><option value="be">Belgium</option><option value="bz">Belize</option><option value="bj">Benin</option><option value="bm">Bermuda</option><option value="bt">Bhutan</option><option value="bo">Bolivia</option><option value="ba">Bosnia and Herzegovina</option><option value="bw">Botswana</option><option value="bv">Bouvet Island</option><option value="br">Brazil</option><option value="io">British Indian Ocean Territory</option><option value="vg">British Virgin Islands</option><option value="bn">Brunei</option><option value="bg">Bulgaria</option><option value="bf">Burkina Faso</option><option value="bi">Burundi</option><option value="kh">Cambodia</option><option value="cm">Cameroon</option><option value="ca">Canada</option><option value="cv">Cape Verde</option><option value="bq">Caribbean Netherlands</option><option value="ky">Cayman Islands</option><option value="cf">Central African Republic</option><option value="td">Chad</option><option value="cl">Chile</option><option value="cn">China</option><option value="cx">Christmas Island</option><option value="cc">Cocos (Keeling) Islands</option><option value="co">Colombia</option><option value="km">Comoros</option><option value="cg">Congo (Brazzaville)</option><option value="cd">Congo (Kinshasa)</option><option value="ck">Cook Islands</option><option value="cr">Costa Rica</option><option value="hr">Croatia</option><option value="cu">Cuba</option><option value="cw">Curaçao</option><option value="cy">Cyprus</option><option value="cz">Czech Republic</option><option value="dk">Denmark</option><option value="dj">Djibouti</option><option value="dm">Dominica</option><option value="do">Dominican Republic</option><option value="ec">Ecuador</option><option value="eg">Egypt</option><option value="sv">El Salvador</option><option value="gq">Equatorial Guinea</option><option value="er">Eritrea</option><option value="ee">Estonia</option><option value="et">Ethiopia</option><option value="fk">Falkland Islands</option><option value="fo">Faroe Islands</option><option value="fj">Fiji</option><option value="fi">Finland</option><option value="fr">France</option><option value="gf">French Guiana</option><option value="pf">French Polynesia</option><option value="tf">French Southern Territories</option><option value="ga">Gabon</option><option value="gm">Gambia</option><option value="ge">Georgia</option><option value="de">Germany</option><option value="gh">Ghana</option><option value="gi">Gibraltar</option><option value="gr">Greece</option><option value="gl">Greenland</option><option value="gd">Grenada</option><option value="gp">Guadeloupe</option><option value="gu">Guam</option><option value="gt">Guatemala</option><option value="gg">Guernsey</option><option value="gn">Guinea</option><option value="gw">Guinea-Bissau</option><option value="gy">Guyana</option><option value="ht">Haiti</option><option value="hm">Heard Island and McDonald Islands</option><option value="hn">Honduras</option><option value="hk">Hong Kong S.A.R., China</option><option value="hu">Hungary</option><option value="is">Iceland</option><option value="in">India</option><option value="id">Indonesia</option><option value="ir">Iran</option><option value="iq">Iraq</option><option value="ie">Ireland</option><option value="im">Isle of Man</option><option value="il">Israel</option><option value="it">Italy</option><option value="ci">Ivory Coast</option><option value="jm">Jamaica</option><option value="jp">Japan</option><option value="je">Jersey</option><option value="jo">Jordan</option><option value="kz">Kazakhstan</option><option value="ke">Kenya</option><option value="ki">Kiribati</option><option value="kw">Kuwait</option><option value="kg">Kyrgyzstan</option><option value="la">Laos</option><option value="lv">Latvia</option><option value="lb">Lebanon</option><option value="ls">Lesotho</option><option value="lr">Liberia</option><option value="ly">Libya</option><option value="li">Liechtenstein</option><option value="lt">Lithuania</option><option value="lu">Luxembourg</option><option value="mo">Macao S.A.R., China</option><option value="mk">Macedonia</option><option value="mg">Madagascar</option><option value="mw">Malawi</option><option value="my">Malaysia</option><option value="mv">Maldives</option><option value="ml">Mali</option><option value="mt">Malta</option><option value="mh">Marshall Islands</option><option value="mq">Martinique</option><option value="mr">Mauritania</option><option value="mu">Mauritius</option><option value="yt">Mayotte</option><option value="mx">Mexico</option><option value="fm">Micronesia</option><option value="md">Moldova</option><option value="mc">Monaco</option><option value="mn">Mongolia</option><option value="me">Montenegro</option><option value="ms">Montserrat</option><option value="ma">Morocco</option><option value="mz">Mozambique</option><option value="mm">Myanmar</option><option value="na">Namibia</option><option value="nr">Nauru</option><option value="np">Nepal</option><option value="nl">Netherlands</option><option value="an">Netherlands Antilles</option><option value="nc">New Caledonia</option><option value="nz">New Zealand</option><option value="ni">Nicaragua</option><option value="ne">Niger</option><option value="ng">Nigeria</option><option value="nu">Niue</option><option value="nf">Norfolk Island</option><option value="mp">Northern Mariana Islands</option><option value="kp">North Korea</option><option value="no">Norway</option><option value="om">Oman</option><option value="pk">Pakistan</option><option value="pw">Palau</option><option value="ps">Palestinian Territory</option><option value="pa">Panama</option><option value="pg">Papua New Guinea</option><option value="py">Paraguay</option><option value="pe">Peru</option><option value="ph">Philippines</option><option value="pn">Pitcairn</option><option value="pl">Poland</option><option value="pt">Portugal</option><option value="pr">Puerto Rico</option><option value="qa">Qatar</option><option value="re">Reunion</option><option value="ro">Romania</option><option value="ru">Russia</option><option value="rw">Rwanda</option><option value="bl">Saint Barthélemy</option><option value="sh">Saint Helena</option><option value="kn">Saint Kitts and Nevis</option><option value="lc">Saint Lucia</option><option value="mf">Saint Martin (French part)</option><option value="pm">Saint Pierre and Miquelon</option><option value="vc">Saint Vincent and the Grenadines</option><option value="ws">Samoa</option><option value="sm">San Marino</option><option value="st">Sao Tome and Principe</option><option value="sa">Saudi Arabia</option><option value="sn">Senegal</option><option value="rs">Serbia</option><option value="sc">Seychelles</option><option value="sl">Sierra Leone</option><option value="sg">Singapore</option><option value="sx">Sint Maarten</option><option value="sk">Slovakia</option><option value="si">Slovenia</option><option value="sb">Solomon Islands</option><option value="so">Somalia</option><option value="za">South Africa</option><option value="gs">South Georgia and the South Sandwich Islands</option><option value="kr">South Korea</option><option value="ss">South Sudan</option><option value="es">Spain</option><option value="lk">Sri Lanka</option><option value="sd">Sudan</option><option value="sr">Suriname</option><option value="sj">Svalbard and Jan Mayen</option><option value="sz">Swaziland</option><option value="se">Sweden</option><option value="ch">Switzerland</option><option value="sy">Syria</option><option value="tw">Taiwan</option><option value="tj">Tajikistan</option><option value="tz">Tanzania</option><option value="th">Thailand</option><option value="tl">Timor-Leste</option><option value="tg">Togo</option><option value="tk">Tokelau</option><option value="to">Tonga</option><option value="tt">Trinidad and Tobago</option><option value="tn">Tunisia</option><option value="tr">Turkey</option><option value="tm">Turkmenistan</option><option value="tc">Turks and Caicos Islands</option><option value="tv">Tuvalu</option><option value="vi">U.S. Virgin Islands</option><option value="ug">Uganda</option><option value="ua">Ukraine</option><option value="ae">United Arab Emirates</option><option value="gb">United Kingdom</option><option value="us" selected="selected">United States</option><option value="um">United States Minor Outlying Islands</option><option value="uy">Uruguay</option><option value="uz">Uzbekistan</option><option value="vu">Vanuatu</option><option value="va">Vatican</option><option value="ve">Venezuela</option><option value="vn">Vietnam</option><option value="wf">Wallis and Futuna</option><option value="eh">Western Sahara</option><option value="ye">Yemen</option><option value="zm">Zambia</option><option value="zw">Zimbabwe</option></select> </div> <div id="location-dropdown-province-wrapper-profile_profile-field_profile_location-und-0"><div class="form-item form-type-select form-item-profile-profile-field-profile-location-und-0-province"> <div class="field-label"><label for="edit-profile-profile-field-profile-location-und-0-province">State/Province</label> <span class="form-required" title="This field is required.">*</span></div> <select class="location_dropdown_province form-select required" id="edit-profile-profile-field-profile-location-und-0-province" name="profile_profile[field_profile_location][und][0][province]"><option value="" selected="selected">Select</option><option value="xx">NOT LISTED</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District Of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option><option value="AS">American Samoa</option><option value="FM">Federated States of Micronesia</option><option value="GU">Guam</option><option value="MH">Marshall Islands</option><option value="MP">Northern Mariana Islands</option><option value="PW">Palau</option><option value="PR">Puerto Rico</option><option value="VI">Virgin Islands</option><option value="AA">Armed Forces Americas</option><option value="AE">Armed Forces Europe</option><option value="AP">Armed Forces Pacific</option></select> </div> </div><div class="form-item form-type-textfield form-item-profile-profile-field-profile-location-und-0-postal-code"> <div class="field-label"><label for="edit-profile-profile-field-profile-location-und-0-postal-code">Postal code</label> <span class="form-required" title="This field is required.">*</span></div> <input type="text" id="edit-profile-profile-field-profile-location-und-0-postal-code" name="profile_profile[field_profile_location][und][0][postal_code]" value="" size="16" maxlength="16" class="form-text required" /> </div> </div></fieldset> </div></div><div class="field-type-phone-number field-name-field-phone field-widget-phone-number form-wrapper" id="edit-profile-profile-field-phone"><div id="profile-profile-field-phone-add-more-wrapper"><div class="form-item form-type-phone-number form-item-profile-profile-field-phone-und-0"> <div class="field-label"><label for="edit-profile-profile-field-phone-und-0">Phone</label> <span class="form-required" title="This field is required.">*</span></div> <div class="form-phone-number"><div class="form-item form-type-textfield form-item-profile-profile-field-phone-und-0-number"> <div class="field-label"><label class="element-invisible" for="edit-profile-profile-field-phone-und-0-number">Phone</label> <span class="form-required" title="This field is required.">*</span></div> <input class="phone-number form-text required" type="text" id="edit-profile-profile-field-phone-und-0-number" name="profile_profile[field_phone][und][0][number]" value="" size="15" maxlength="15" /> </div> <div class="form-item form-type-select form-item-profile-profile-field-phone-und-0-country-codes"> <select class="country-code form-select" id="edit-profile-profile-field-phone-und-0-country-codes" name="profile_profile[field_phone][und][0][country_codes]"><option value="af">Afghanistan (+93)</option><option value="al">Albania (+355)</option><option value="dz">Algeria (+213)</option><option value="as">American Samoa (+1)</option><option value="ad">Andorra (+376)</option><option value="ao">Angola (+244)</option><option value="ai">Anguilla (+1)</option><option value="ag">Antigua and Barbuda (+1)</option><option value="ar">Argentina (+54)</option><option value="am">Armenia (+374)</option><option value="aw">Aruba (+297)</option><option value="au">Australia (+61)</option><option value="at">Austria (+43)</option><option value="az">Azerbaijan (+994)</option><option value="bs">Bahamas, The (+1)</option><option value="bh">Bahrain (+973)</option><option value="bd">Bangladesh (+880)</option><option value="bb">Barbados (+1)</option><option value="by">Belarus (+375)</option><option value="be">Belgium (+32)</option><option value="bz">Belize (+501)</option><option value="bj">Benin (+229)</option><option value="bm">Bermuda (+1)</option><option value="bt">Bhutan (+975)</option><option value="bo">Bolivia (+591)</option><option value="ba">Bosnia and Herzegovina (+387)</option><option value="bw">Botswana (+267)</option><option value="br">Brazil (+55)</option><option value="io">British Indian Ocean Territory (+246)</option><option value="vg">British Virgin Islands (+1)</option><option value="bn">Brunei (+673)</option><option value="bg">Bulgaria (+359)</option><option value="bf">Burkina Faso (+226)</option><option value="bi">Burundi (+257)</option><option value="kh">Cambodia (+855)</option><option value="cm">Cameroon (+237)</option><option value="ca">Canada (+1)</option><option value="cv">Cape Verde (+238)</option><option value="ky">Cayman Islands (+1)</option><option value="cf">Central African Republic (+236)</option><option value="td">Chad (+235)</option><option value="cl">Chile (+56)</option><option value="cn">China (+86)</option><option value="cx">Christmas Island (+61)</option><option value="cc">Cocos-Keeling Islands (+61)</option><option value="co">Colombia (+57)</option><option value="km">Comoros (+269)</option><option value="cd">Congo, Democratic Republic of (+243)</option><option value="cg">Congo, Republic of the (+242)</option><option value="ck">Cook Islands (+682)</option><option value="cr">Costa Rica (+506)</option><option value="hr">Croatia (+385)</option><option value="cu">Cuba (+53)</option><option value="cy">Cyprus (+357)</option><option value="cz">Czech Republic (+420)</option><option value="dk">Denmark (+45)</option><option value="dj">Djibouti (+253)</option><option value="dm">Dominica (+1)</option><option value="do">Dominican Republic (+1)</option><option value="tp">East Timor (+670)</option><option value="ec">Ecuador (+593)</option><option value="eg">Egypt (+20)</option><option value="sv">El Salvador (+503)</option><option value="gq">Equatorial Guinea (+240)</option><option value="er">Eritrea (+291)</option><option value="ee">Estonia (+372)</option><option value="et">Ethiopia (+251)</option><option value="fk">Falkland Islands (+500)</option><option value="fo">Faroe Islands (+298)</option><option value="fj">Fiji (+679)</option><option value="fi">Finland (+358)</option><option value="fr">France (+33)</option><option value="gf">French Guiana (+594)</option><option value="pf">French Polynesia (+689)</option><option value="ga">Gabon (+241)</option><option value="gm">Gambia, The (+220)</option><option value="ge">Georgia (+995)</option><option value="de">Germany (+49)</option><option value="gh">Ghana (+233)</option><option value="gi">Gibraltar (+350)</option><option value="gr">Greece (+30)</option><option value="gl">Greenland (+299)</option><option value="gd">Grenada (+1)</option><option value="gp">Guadeloupe (+590)</option><option value="gu">Guam (+1)</option><option value="gt">Guatemala (+502)</option><option value="gn">Guinea (+224)</option><option value="gw">Guinea-Bissau (+245)</option><option value="gy">Guyana (+592)</option><option value="ht">Haiti (+509)</option><option value="hn">Honduras (+504)</option><option value="hk">Hong Kong (+852)</option><option value="hu">Hungary (+36)</option><option value="is">Iceland (+354)</option><option value="in">India (+91)</option><option value="id">Indonesia (+62)</option><option value="ir">Iran (+98)</option><option value="iq">Iraq (+964)</option><option value="ie">Ireland (+353)</option><option value="il">Israel (+972)</option><option value="it">Italy (+39)</option><option value="ci">Ivory Coast (+225)</option><option value="jm">Jamaica (+1)</option><option value="jp">Japan (+81)</option><option value="jo">Jordan (+962)</option><option value="kz">Kazakhstan (+7)</option><option value="ke">Kenya (+254)</option><option value="ki">Kiribati (+686)</option><option value="kw">Kuwait (+965)</option><option value="kg">Kyrgyzstan (+996)</option><option value="la">Laos (+856)</option><option value="lv">Latvia (+371)</option><option value="lb">Lebanon (+961)</option><option value="ls">Lesotho (+266)</option><option value="lr">Liberia (+231)</option><option value="ly">Libya (+218)</option><option value="li">Liechtenstein (+423)</option><option value="lt">Lithuania (+370)</option><option value="lu">Luxembourg (+352)</option><option value="mo">Macau (+853)</option><option value="mk">Macedonia (+389)</option><option value="mg">Madagascar (+261)</option><option value="mw">Malawi (+265)</option><option value="my">Malaysia (+60)</option><option value="mv">Maldives (+960)</option><option value="ml">Mali (+223)</option><option value="mt">Malta (+356)</option><option value="mh">Marshall Islands (+692)</option><option value="mq">Martinique (+596)</option><option value="mr">Mauritania (+222)</option><option value="mu">Mauritius (+230)</option><option value="yt">Mayotte (+269)</option><option value="mx">Mexico (+52)</option><option value="fm">Micronesia, Federated States of (+691)</option><option value="md">Moldova (+373)</option><option value="mc">Monaco (+377)</option><option value="mn">Mongolia (+976)</option><option value="me">Montenegro (+382)</option><option value="ms">Montserrat (+1)</option><option value="ma">Morocco (+212)</option><option value="mz">Mozambique (+258)</option><option value="mm">Myanmar (+95)</option><option value="na">Namibia (+264)</option><option value="nr">Nauru (+674)</option><option value="np">Nepal (+977)</option><option value="nl">Netherlands (+31)</option><option value="an">Netherlands Antilles (+599)</option><option value="nc">New Caledonia (+687)</option><option value="nz">New Zealand (+64)</option><option value="ni">Nicaragua (+505)</option><option value="ne">Niger (+227)</option><option value="ng">Nigeria (+234)</option><option value="nu">Niue (+683)</option><option value="nf">Norfolk Island (+672)</option><option value="kp">North Korea (+850)</option><option value="mp">Northern Mariana Islands (+1)</option><option value="no">Norway (+47)</option><option value="om">Oman (+968)</option><option value="pk">Pakistan (+92)</option><option value="pw">Palau (+680)</option><option value="ps">Palestine (+970)</option><option value="pa">Panama (+507)</option><option value="pg">Papua New Guinea (+675)</option><option value="py">Paraguay (+595)</option><option value="pe">Peru (+51)</option><option value="ph">Philippines (+63)</option><option value="pl">Poland (+48)</option><option value="pt">Portugal (+351)</option><option value="pr">Puerto Rico (+1)</option><option value="qa">Qatar (+974)</option><option value="ro">Romania (+40)</option><option value="ru">Russia (+7)</option><option value="rw">Rwanda (+250)</option><option value="sh">Saint Helena (+290)</option><option value="kn">Saint Kitts and Nevis (+1)</option><option value="lc">Saint Lucia (+1)</option><option value="pm">Saint Pierre and Miquelon (+508)</option><option value="vc">Saint Vincent and the Grenadines (+1)</option><option value="ws">Samoa (+1)</option><option value="sm">San Marino (+378)</option><option value="st">Sao Tome and Principe (+239)</option><option value="sa">Saudi Arabia (+966)</option><option value="sn">Senegal (+221)</option><option value="rs">Serbia (+381)</option><option value="sc">Seychelles (+248)</option><option value="sl">Sierra Leone (+232)</option><option value="sg">Singapore (+65)</option><option value="sk">Slovakia (+421)</option><option value="si">Slovenia (+386)</option><option value="sb">Solomon Islands (+677)</option><option value="so">Somalia (+252)</option><option value="za">South Africa (+27)</option><option value="kr">South Korea (+82)</option><option value="ss">South Sudan (+211)</option><option value="es">Spain (+34)</option><option value="lk">Sri Lanka (+94)</option><option value="sd">Sudan (+249)</option><option value="sr">Suriname (+597)</option><option value="sz">Swaziland (+268)</option><option value="se">Sweden (+46)</option><option value="ch">Switzerland (+41)</option><option value="sy">Syria (+963)</option><option value="tw">Taiwan (+886)</option><option value="tj">Tajikistan (+992)</option><option value="tz">Tanzania (+255)</option><option value="th">Thailand (+66)</option><option value="tg">Togo (+228)</option><option value="tk">Tokelau (+690)</option><option value="to">Tonga (+676)</option><option value="tt">Trinidad and Tobago (+1)</option><option value="tn">Tunisia (+216)</option><option value="tr">Turkey (+90)</option><option value="tm">Turkmenistan (+993)</option><option value="tc">Turks and Caicos Islands (+1)</option><option value="tv">Tuvalu (+688)</option><option value="vi">US Virgin Islands (+1)</option><option value="ug">Uganda (+256)</option><option value="ua">Ukraine (+380)</option><option value="ae">United Arab Emirates (+971)</option><option value="gb">United Kingdom (+44)</option><option value="us" selected="selected">United States (+1)</option><option value="uy">Uruguay (+598)</option><option value="uz">Uzbekistan (+998)</option><option value="vu">Vanuatu (+678)</option><option value="va">Vatican City (+39)</option><option value="ve">Venezuela (+58)</option><option value="vn">Vietnam (+84)</option><option value="wf">Wallis and Futuna (+681)</option><option value="ye">Yemen (+967)</option><option value="zm">Zambia (+260)</option><option value="zw">Zimbabwe (+263)</option></select> </div> </div> </div> </div></div><div class="field-type-list-text field-name-field-specialty field-widget-options-select form-wrapper" id="edit-profile-profile-field-specialty"><div class="form-item form-type-select form-item-profile-profile-field-specialty-und" aria-describedby="edit-profile-profile-field-specialty-und-description"> <div class="field-label"><label for="edit-profile-profile-field-specialty-und">Specialty</label> </div> <div class="description" id="edit-profile-profile-field-specialty-und-description">To select multiple options press and hold the CTRL button while clicking on the options.</div> <select multiple="multiple" name="profile_profile[field_specialty][und][]" id="edit-profile-profile-field-specialty-und" class="form-select"><option value="Addiction Medicine">Addiction Medicine</option><option value="Adolescent Medicine">Adolescent Medicine</option><option value="Allergy & Immunology">Allergy & Immunology</option><option value="Anesthesiology">Anesthesiology</option><option value="Behavioral Medicine">Behavioral Medicine</option><option value="Blood Conservation">Blood Conservation</option><option value="Cardiac Electrophysiology">Cardiac Electrophysiology</option><option value="Cardiology">Cardiology</option><option value="Cardiothoracic Surgery">Cardiothoracic Surgery</option><option value="Cardiovascular Sonographer">Cardiovascular Sonographer</option><option value="Chaplaincy">Chaplaincy</option><option value="Child and Adolescent Psychology">Child and Adolescent Psychology</option><option value="Colon and Rectal Surgery">Colon and Rectal Surgery</option><option value="Critical Care Medicine">Critical Care Medicine</option><option value="Dentistry">Dentistry</option><option value="Dermatology">Dermatology</option><option value="Dermatology Micrographic Surgery">Dermatology Micrographic Surgery</option><option value="Dermatopathology">Dermatopathology</option><option value="Diabetes">Diabetes</option><option value="Diagnostic Radiology">Diagnostic Radiology</option><option value="Dietitian">Dietitian</option><option value="Echocardiography">Echocardiography</option><option value="Emergency Medicine">Emergency Medicine</option><option value="Emergency Medicine-Pediatric">Emergency Medicine-Pediatric</option><option value="Endocrinology">Endocrinology</option><option value="Endoscopy">Endoscopy</option><option value="Ethics">Ethics</option><option value="Exercise Physiologist">Exercise Physiologist</option><option value="Exhibitor">Exhibitor</option><option value="Family Medicine">Family Medicine</option><option value="Forensic Pathology">Forensic Pathology</option><option value="Forensic Psychiatry">Forensic Psychiatry</option><option value="Gastroenterology">Gastroenterology</option><option value="General Surgery">General Surgery</option><option value="Genetics">Genetics</option><option value="Geriatric Medicine">Geriatric Medicine</option><option value="Gynecology">Gynecology</option><option value="Hematology">Hematology</option><option value="Hematology & Oncology">Hematology & Oncology</option><option value="HIV/AIDS">HIV/AIDS</option><option value="Home Healthcare">Home Healthcare</option><option value="Hospital Pharmacy">Hospital Pharmacy</option><option value="Hospitalist">Hospitalist</option><option value="Hyperbaric Medicine">Hyperbaric Medicine</option><option value="Immunology">Immunology</option><option value="Infectious Disease">Infectious Disease</option><option value="Infertility">Infertility</option><option value="Intern">Intern</option><option value="Internal Medicine">Internal Medicine</option><option value="Internal Medicine-Cardiovascular">Internal Medicine-Cardiovascular</option><option value="Internal Medicine-Critical Care">Internal Medicine-Critical Care</option><option value="Internal Medicine-Endocrinology">Internal Medicine-Endocrinology</option><option value="Internal Medicine-Gastroenterology">Internal Medicine-Gastroenterology</option><option value="Internal Medicine-Geriatrics">Internal Medicine-Geriatrics</option><option value="Internal Medicine-Hematology">Internal Medicine-Hematology</option><option value="Internal Medicine-Infectious Diseases">Internal Medicine-Infectious Diseases</option><option value="Internal Medicine-Nephrology">Internal Medicine-Nephrology</option><option value="Internal Medicine-Oncology">Internal Medicine-Oncology</option><option value="Internal Medicine-Pediatrics">Internal Medicine-Pediatrics</option><option value="Internal Medicine-Pulmonary Diseases">Internal Medicine-Pulmonary Diseases</option><option value="Internal Medicine-Rheumatology">Internal Medicine-Rheumatology</option><option value="Interventional Cardiology">Interventional Cardiology</option><option value="Interventional Radiology">Interventional Radiology</option><option value="Invasive Cardiology">Invasive Cardiology</option><option value="Laboratory Medicine">Laboratory Medicine</option><option value="Maternal & Fetal Medicine">Maternal & Fetal Medicine</option><option value="Medical Informatics (CERNER)">Medical Informatics (CERNER)</option><option value="Medical Microbiology">Medical Microbiology</option><option value="Midwife">Midwife</option><option value="Neonatal-Perinatal Medicine">Neonatal-Perinatal Medicine</option><option value="Neonatology">Neonatology</option><option value="Nephrology">Nephrology</option><option value="Neurological Surgery">Neurological Surgery</option><option value="Neurology">Neurology</option><option value="Neurology- ICU">Neurology- ICU</option><option value="Neurology-Child Neurology">Neurology-Child Neurology</option><option value="Neuroradiology">Neuroradiology</option><option value="Nuclear Imaging & Therapy">Nuclear Imaging & Therapy</option><option value="Nuclear Medicine">Nuclear Medicine</option><option value="Nursing">Nursing</option><option value="Ob/Gyn">Ob/Gyn</option><option value="OB/Gyn-Gynecology Oncology">OB/Gyn-Gynecology Oncology</option><option value="OB/Gyn-Reproductive Endocrinology">OB/Gyn-Reproductive Endocrinology</option><option value="Obstetrics">Obstetrics</option><option value="Occupational Medicine">Occupational Medicine</option><option value="Oncology">Oncology</option><option value="Ophthalmology">Ophthalmology</option><option value="Ophthalmology-Pediatric">Ophthalmology-Pediatric</option><option value="Oral and Maxillofacial Surgery">Oral and Maxillofacial Surgery</option><option value="Orthopedic Surgery">Orthopedic Surgery</option><option value="Orthopedics">Orthopedics</option><option value="Orthopedics-Hand Surgery">Orthopedics-Hand Surgery</option><option value="Orthopedics-Rehabilitation">Orthopedics-Rehabilitation</option><option value="Orthopedics-Sports Medicine">Orthopedics-Sports Medicine</option><option value="Osteopathic Medicine">Osteopathic Medicine</option><option value="Otolaryngology">Otolaryngology</option><option value="Otorhinolaryngology">Otorhinolaryngology</option><option value="Pain Management">Pain Management</option><option value="Palliative Care">Palliative Care</option><option value="Pathology">Pathology</option><option value="Pediatric Cardiology">Pediatric Cardiology</option><option value="Pediatric Dentistry">Pediatric Dentistry</option><option value="Pediatric Emergency">Pediatric Emergency</option><option value="Pediatric Endocrinology">Pediatric Endocrinology</option><option value="Pediatric Gastroenterology">Pediatric Gastroenterology</option><option value="Pediatric Genetics">Pediatric Genetics</option><option value="Pediatric Hematology-Oncology">Pediatric Hematology-Oncology</option><option value="Pediatric Neonatology">Pediatric Neonatology</option><option value="Pediatric Nephrology">Pediatric Nephrology</option><option value="Pediatric Psychology">Pediatric Psychology</option><option value="Pediatric Pulmonology">Pediatric Pulmonology</option><option value="Pediatric Radiologist">Pediatric Radiologist</option><option value="Pediatric-Allergy & Immunology">Pediatric-Allergy & Immunology</option><option value="Pediatric-Infectious Diseases">Pediatric-Infectious Diseases</option><option value="Pediatrics">Pediatrics</option><option value="Pediatrics-Critical Care">Pediatrics-Critical Care</option><option value="Perfusionist">Perfusionist</option><option value="Perinatal Services">Perinatal Services</option><option value="Periodontics">Periodontics</option><option value="Pharmacology, Clinical">Pharmacology, Clinical</option><option value="Pharmacotherapy">Pharmacotherapy</option><option value="Physical Medicine & Rehab">Physical Medicine & Rehab</option><option value="Plastic Surgery">Plastic Surgery</option><option value="Podiatry">Podiatry</option><option value="Preventive Medicine">Preventive Medicine</option><option value="Primary Care">Primary Care</option><option value="Psychiatry">Psychiatry</option><option value="Psychiatry & Neurology">Psychiatry & Neurology</option><option value="Psychiatry-Child Psychiatry">Psychiatry-Child Psychiatry</option><option value="Psychology">Psychology</option><option value="Public Health & General Prevention">Public Health & General Prevention</option><option value="Pulmonary">Pulmonary</option><option value="Radiation Oncology">Radiation Oncology</option><option value="Radiation Therapy">Radiation Therapy</option><option value="Radiographer">Radiographer</option><option value="Radiology">Radiology</option><option value="Radiology-Diagnostic">Radiology-Diagnostic</option><option value="Radiology-Neuroradiology">Radiology-Neuroradiology</option><option value="Radiology-Pediatric Radiology">Radiology-Pediatric Radiology</option><option value="Radiology-Vascular & Intervent">Radiology-Vascular & Intervent</option><option value="Rehabilitation Medicine">Rehabilitation Medicine</option><option value="Reproductive Endocrinology">Reproductive Endocrinology</option><option value="Rheumatology">Rheumatology</option><option value="Sleep Medicine">Sleep Medicine</option><option value="Sonography">Sonography</option><option value="Speech Pathology">Speech Pathology</option><option value="Sports Medicine">Sports Medicine</option><option value="Surgery">Surgery</option><option value="Surgery-Hernia Surgery">Surgery-Hernia Surgery</option><option value="Surgery-House Physician">Surgery-House Physician</option><option value="Surgery-Oncology">Surgery-Oncology</option><option value="Surgery-Pediatric Surgery">Surgery-Pediatric Surgery</option><option value="Surgery-Vascular Surgery">Surgery-Vascular Surgery</option><option value="Thoracic Surgery">Thoracic Surgery</option><option value="Toxicology">Toxicology</option><option value="Ultrasound">Ultrasound</option><option value="Ultrasound, Diagnostic">Ultrasound, Diagnostic</option><option value="Urology">Urology</option><option value="Urology-Pediatric Urology">Urology-Pediatric Urology</option><option value="Vascular">Vascular</option><option value="Vascular Radiology">Vascular Radiology</option><option value="Vascular Surgery">Vascular Surgery</option><option value="Vendor">Vendor</option><option value="Wound Care">Wound Care</option></select> </div> </div><div class="field-type-text field-name-field-what-degree-and-credential field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-what-degree-and-credential"><div id="profile-profile-field-what-degree-and-credential-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-what-degree-and-credential-und-0-value"> <div class="field-label"><label for="edit-profile-profile-field-what-degree-and-credential-und-0-value">What degrees or credentials would you like listed after your name on your certificates?</label> <span class="form-required" title="This field is required.">*</span></div> <input class="text-full form-text required" type="text" id="edit-profile-profile-field-what-degree-and-credential-und-0-value" name="profile_profile[field_what_degree_and_credential][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-list-text field-name-field-affiliation field-widget-options-buttons form-wrapper" id="edit-profile-profile-field-affiliation"><div class="form-item form-type-checkboxes form-item-profile-profile-field-affiliation-und" aria-describedby="edit-profile-profile-field-affiliation-und-description"> <div class="field-label"><label for="edit-profile-profile-field-affiliation-und">Affiliations</label> <span class="form-required" title="This field is required.">*</span></div> <div class="description" id="edit-profile-profile-field-affiliation-und-description">Please select all that apply.</div> <div id="edit-profile-profile-field-affiliation-und" class="form-checkboxes"><div class="form-item form-type-checkbox form-item-profile-profile-field-affiliation-und-Baptist-Health-Affiliated-Healthcare-Professional-(Medical-Staff)"> <input type="checkbox" id="edit-profile-profile-field-affiliation-und-baptist-health-affiliated-healthcare-professional-medical-staff" name="profile_profile[field_affiliation][und][Baptist Health Affiliated Healthcare Professional (Medical Staff)]" value="Baptist Health Affiliated Healthcare Professional (Medical Staff)" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-affiliation-und-baptist-health-affiliated-healthcare-professional-medical-staff">Baptist Health Advanced Practice Provider (Includes Bethesda Health, Boca Raton and Fishermen's Medical Staff)</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-affiliation-und-Baptist-Health-Affiliated-Physician-(Medical-Staff)"> <input type="checkbox" id="edit-profile-profile-field-affiliation-und-baptist-health-affiliated-physician-medical-staff" name="profile_profile[field_affiliation][und][Baptist Health Affiliated Physician (Medical Staff)]" value="Baptist Health Affiliated Physician (Medical Staff)" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-affiliation-und-baptist-health-affiliated-physician-medical-staff">Baptist Health Affiliated Physician (Includes Bethesda Health, Boca Raton and Fishermen's Medical Staff)</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-affiliation-und-Baptist-Health-Employee"> <input type="checkbox" id="edit-profile-profile-field-affiliation-und-baptist-health-employee" name="profile_profile[field_affiliation][und][Baptist Health Employee]" value="Baptist Health Employee" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-affiliation-und-baptist-health-employee">Baptist Health Employee</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-affiliation-und-Bethesda-Health-Employee"> <input type="checkbox" id="edit-profile-profile-field-affiliation-und-bethesda-health-employee" name="profile_profile[field_affiliation][und][Bethesda Health Employee]" value="Bethesda Health Employee" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-affiliation-und-bethesda-health-employee">Bethesda Health Employee</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-affiliation-und-Boca-Raton-Regional-Hospital-Employee"> <input type="checkbox" id="edit-profile-profile-field-affiliation-und-boca-raton-regional-hospital-employee" name="profile_profile[field_affiliation][und][Boca Raton Regional Hospital Employee]" value="Boca Raton Regional Hospital Employee" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-affiliation-und-boca-raton-regional-hospital-employee">Boca Raton Regional Hospital Employee</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-affiliation-und-Fishermen's-Hosptial-employee"> <input type="checkbox" id="edit-profile-profile-field-affiliation-und-fishermens-hosptial-employee" name="profile_profile[field_affiliation][und][Fishermen's Hosptial employee]" value="Fishermen's Hosptial employee" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-affiliation-und-fishermens-hosptial-employee">Fishermen's Hospital Employee</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-affiliation-und-Other"> <input type="checkbox" id="edit-profile-profile-field-affiliation-und-other" name="profile_profile[field_affiliation][und][Other]" value="Other" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-affiliation-und-other">Other</label> </div> </div> </div> </div> </div><div class="field-type-text field-name-field-affiliation-other field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-affiliation-other"><div id="profile-profile-field-affiliation-other-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-affiliation-other-und-0-value"> <div class="field-label"><label for="edit-profile-profile-field-affiliation-other-und-0-value">Other</label> <span class="form-required" title="This field is required.">*</span></div> <input class="text-full form-text required" type="text" id="edit-profile-profile-field-affiliation-other-und-0-value" name="profile_profile[field_affiliation_other][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-list-text field-name-field-baptist-health-affiliation field-widget-options-buttons form-wrapper" id="edit-profile-profile-field-baptist-health-affiliation"><div class="form-item form-type-checkboxes form-item-profile-profile-field-baptist-health-affiliation-und" aria-describedby="edit-profile-profile-field-baptist-health-affiliation-und-description"> <div class="field-label"><label for="edit-profile-profile-field-baptist-health-affiliation-und">Baptist Health Affiliated Physicians</label> <span class="form-required" title="This field is required.">*</span></div> <div class="description" id="edit-profile-profile-field-baptist-health-affiliation-und-description">Please select all that apply.</div> <div id="edit-profile-profile-field-baptist-health-affiliation-und" class="form-checkboxes"><div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Baptist-Health-Medical-Group-(Employed-Physicians)"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-baptist-health-medical-group-employed-physicians" name="profile_profile[field_baptist_health_affiliation][und][Baptist Health Medical Group (Employed Physicians)]" value="Baptist Health Medical Group (Employed Physicians)" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-baptist-health-medical-group-employed-physicians">Baptist Health Medical Group (Employed Physician)</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Baptist-Health-Quality-Network"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-baptist-health-quality-network" name="profile_profile[field_baptist_health_affiliation][und][Baptist Health Quality Network]" value="Baptist Health Quality Network" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-baptist-health-quality-network">Baptist Health Quality Network</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Baptist-Hospital-of-Miami"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-baptist-hospital-of-miami" name="profile_profile[field_baptist_health_affiliation][und][Baptist Hospital of Miami]" value="Baptist Hospital of Miami" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-baptist-hospital-of-miami">Baptist Hospital of Miami</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Baptist-Outpatient-Services"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-baptist-outpatient-services" name="profile_profile[field_baptist_health_affiliation][und][Baptist Outpatient Services]" value="Baptist Outpatient Services" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-baptist-outpatient-services">Baptist Outpatient Services</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Bethesda-Health-Physician-Group"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-bethesda-health-physician-group" name="profile_profile[field_baptist_health_affiliation][und][Bethesda Health Physician Group]" value="Bethesda Health Physician Group" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-bethesda-health-physician-group">Bethesda Health Physician Group (Employed Physician)</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Bethesda-Health-Quality-Alliance"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-bethesda-health-quality-alliance" name="profile_profile[field_baptist_health_affiliation][und][Bethesda Health Quality Alliance]" value="Bethesda Health Quality Alliance" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-bethesda-health-quality-alliance">Bethesda Health Quality Alliance</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Bethesda-Hospital-East"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-bethesda-hospital-east" name="profile_profile[field_baptist_health_affiliation][und][Bethesda Hospital East]" value="Bethesda Hospital East" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-bethesda-hospital-east">Bethesda Hospital East</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Bethesda-Hospital-West"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-bethesda-hospital-west" name="profile_profile[field_baptist_health_affiliation][und][Bethesda Hospital West]" value="Bethesda Hospital West" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-bethesda-hospital-west">Bethesda Hospital West</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Boca-Raton-Regional-Hospital"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-boca-raton-regional-hospital" name="profile_profile[field_baptist_health_affiliation][und][Boca Raton Regional Hospital]" value="Boca Raton Regional Hospital" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-boca-raton-regional-hospital">Boca Raton Regional Hospital</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Boca-Raton-Regional-Hospital-BocaCare-(Employed-Physician)"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-boca-raton-regional-hospital-bocacare-employed-physician" name="profile_profile[field_baptist_health_affiliation][und][Boca Raton Regional Hospital BocaCare (Employed Physician)]" value="Boca Raton Regional Hospital BocaCare (Employed Physician)" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-boca-raton-regional-hospital-bocacare-employed-physician">Boca Raton Regional Hospital BocaCare (Employed Physician)</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Doctors-Hospital"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-doctors-hospital" name="profile_profile[field_baptist_health_affiliation][und][Doctors Hospital]" value="Doctors Hospital" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-doctors-hospital">Doctors Hospital</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Fishermen’s-Community-Hospital"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-fishermens-community-hospital" name="profile_profile[field_baptist_health_affiliation][und][Fishermen’s Community Hospital]" value="Fishermen’s Community Hospital" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-fishermens-community-hospital">Fishermen’s Hospital</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Homestead-Hospital"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-homestead-hospital" name="profile_profile[field_baptist_health_affiliation][und][Homestead Hospital]" value="Homestead Hospital" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-homestead-hospital">Homestead Hospital</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-Mariners-Hospital"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-mariners-hospital" name="profile_profile[field_baptist_health_affiliation][und][Mariners Hospital]" value="Mariners Hospital" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-mariners-hospital">Mariners Hospital</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-South-Miami-Hospital"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-south-miami-hospital" name="profile_profile[field_baptist_health_affiliation][und][South Miami Hospital]" value="South Miami Hospital" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-south-miami-hospital">South Miami Hospital</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-baptist-health-affiliation-und-West-Kendall-Baptist-Hospital"> <input type="checkbox" id="edit-profile-profile-field-baptist-health-affiliation-und-west-kendall-baptist-hospital" name="profile_profile[field_baptist_health_affiliation][und][West Kendall Baptist Hospital]" value="West Kendall Baptist Hospital" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-baptist-health-affiliation-und-west-kendall-baptist-hospital">West Kendall Baptist Hospital</label> </div> </div> </div> </div> </div><div class="field-type-text field-name-field-employee-number field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-employee-number"><div id="profile-profile-field-employee-number-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-employee-number-und-0-value" aria-describedby="edit-profile-profile-field-employee-number-und-0-value-description"> <div class="field-label"><label for="edit-profile-profile-field-employee-number-und-0-value">Employee number</label> <span class="form-required" title="This field is required.">*</span></div> <div class="description" id="edit-profile-profile-field-employee-number-und-0-value-description">Baptist Health employee numbers are required for crediting purposes.</div> <input class="text-full form-text required" type="text" id="edit-profile-profile-field-employee-number-und-0-value" name="profile_profile[field_employee_number][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-list-text field-name-field-learner-type field-widget-options-select form-wrapper" id="edit-profile-profile-field-learner-type"><div class="form-item form-type-select form-item-profile-profile-field-learner-type-und"> <div class="field-label"><label for="edit-profile-profile-field-learner-type-und">Occupation</label> <span class="form-required" title="This field is required.">*</span></div> <select id="edit-profile-profile-field-learner-type-und" name="profile_profile[field_learner_type][und]" class="form-select required"><option value="_none">- Select a value -</option><option value="Athletic Trainers">Athletic Trainer</option><option value="Clergy">Clergy</option><option value="Dentist">Dentist</option><option value="Dietitians">Dietitian</option><option value="Dietitian Technicians">Dietitian Technician</option><option value="Dosimetrist">Dosimetrist</option><option value="EMT">EMT</option><option value="Hyperbaric Technologist">Hyperbaric Technologist</option><option value="Fellow">Fellow</option><option value="International Participant">International (Other)</option><option value="International Physician">International Physician</option><option value="Laboratory Personnel">Laboratory Personnel</option><option value="Marriage and Family Therapist">Marriage and Family Therapist</option><option value="Medical Assistant">Medical Assistant</option><option value="Medical Physicist">Medical Physicist</option><option value="Medical Student">Medical Student</option><option value="Mental Health Counselor">Mental Health Counselor</option><option value="Nurse">Nurse</option><option value="Nurse Assistant">Nurse Assistant</option><option value="Nurse Practitioner">Nurse Practitioner</option><option value="Observer">Observer</option><option value="Occupational Therapist">Occupational Therapist</option><option value="Office Staff">Office Staff</option><option value="Osteopathic Physician">Osteopathic Physician</option><option value="Other">Other</option><option value="Paramedics">Paramedics</option><option value="Personal Care Assistant">Personal Care Assistant</option><option value="Pharmacy">Pharmacy</option><option value="Physical Therapist">Physical Therapist</option><option value="Physician">Physician</option><option value="Physician Assistant">Physician Assistant</option><option value="Podiatrists">Podiatrist</option><option value="Psychologist">Psychologist</option><option value="Radiologic Technologist">Radiologic Technologist</option><option value="Resident">Resident</option><option value="Respiratory Therapist">Respiratory Therapist</option><option value="Scribe">Scribe</option><option value="Sleep Technician">Sleep Technician</option><option value="Social Worker">Social Worker</option><option value="Sonographer">Sonographer</option><option value="Speech Therapist">Speech Therapist</option><option value="Student">Student</option><option value="Surgical Tech">Surgical Tech</option><option value="Ultrasound Tech">Ultrasound Tech</option></select> </div> </div><div class="field-type-list-boolean field-name-field-i-am-licensed-in-the-state field-widget-options-onoff form-wrapper" id="edit-profile-profile-field-i-am-licensed-in-the-state"><div class="form-item form-type-checkbox form-item-profile-profile-field-i-am-licensed-in-the-state-und" aria-describedby="edit-profile-profile-field-i-am-licensed-in-the-state-und-description"> <input type="checkbox" id="edit-profile-profile-field-i-am-licensed-in-the-state-und" name="profile_profile[field_i_am_licensed_in_the_state][und]" value="1" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-i-am-licensed-in-the-state-und">I am licensed in the state of Florida and I would like my credits reported to CE Broker.</label> </div> <div class="description" id="edit-profile-profile-field-i-am-licensed-in-the-state-und-description">RADIOLOGIC TECHNOLOGISTS: Do not check this option, as RT credits are reported MANUALLY by the CME Department.</div> </div> </div><div class="field-type-text field-name-field-license-number field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-license-number"><div id="profile-profile-field-license-number-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-license-number-und-0-value" aria-describedby="edit-profile-profile-field-license-number-und-0-value-description"> <div class="field-label"><label for="edit-profile-profile-field-license-number-und-0-value">License Number</label> <span class="form-required" title="This field is required.">*</span></div> <div class="description" id="edit-profile-profile-field-license-number-und-0-value-description">Include prefix with no space and no leading zeros.</div> <input class="text-full form-text required" type="text" id="edit-profile-profile-field-license-number-und-0-value" name="profile_profile[field_license_number][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-list-text field-name-field-profession field-widget-options-select form-wrapper" id="edit-profile-profile-field-profession"><div class="form-item form-type-select form-item-profile-profile-field-profession-und" aria-describedby="edit-profile-profile-field-profession-und-description"> <div class="field-label"><label for="edit-profile-profile-field-profession-und">Profession</label> <span class="form-required" title="This field is required.">*</span></div> <div class="description" id="edit-profile-profile-field-profession-und-description">Profession and license information provided will be used to report credits to CE Broker. Allopathic physicians with a license number beginning with ME - please select “Medical Doctor”.</div> <select id="edit-profile-profile-field-profession-und" name="profile_profile[field_profession][und]" class="form-select required"><option value="_none">- Select a value -</option><option value="APRN">Advanced Practice Registered Nurse</option><option value="AL">Athletic Trainer</option><option value="AA">Certified Anesthesiologist Assistant</option><option value="CN">Certified Master Social Worker</option><option value="CNA">Certified Nursing Assistants</option><option value="PXA">Certified Podiatric X-Ray Limited</option><option value="TT">Certified Respiratory Care Therapist (CRT)</option><option value="DI">Clinical Laboratory Director</option><option value="SU">Clinical Laboratory Supervisor</option><option value="TC">Clinical Laboratory Technician</option><option value="TN">Clinical Laboratory Technologist</option><option value="CNS">Clinical Nurse Specialist</option><option value="PU">Consultants Pharmacist</option><option value="DN">Dentist</option><option value="DH">Dental Hygienist</option><option value="DRP">Diagnostic Radiological Physicist</option><option value="ND">Dietician/ Nutritionist</option><option value="HAD">Health Access Dentist</option><option value="SW">Licensed Clinical Social Worker</option><option value="LPY">Limited License Psychologist</option><option value="MT">Licensed Marriage and Family Therapist</option><option value="MH">Licensed Mental Health Counselor</option><option value="PN">Licensed Practical Nurse</option><option value="ME">Medical Doctors</option><option value="PHC">Medical Doctors – Public Health Certificate</option><option value="PPC">Medical Doctors – Public Psychiatry Certificate</option><option value="ACN">Medical Doctors – Area Clinical Need</option><option value="LL">Medical Doctors – Limited License</option><option value="RR">Medical Doctors – Resident Registration</option><option value="MFC">Medical Doctor Medical Faculty Certificate</option><option value="MPH">Medical Health Physicist</option><option value="MNP">Medical Nuclear Radiological Physicist</option><option value="NP">Nuclear Pharmacist</option><option value="NC">Nutrition Counselor</option><option value="OT">Occupational Therapist</option><option value="OTA">Occupational Therapy Assistant</option><option value="OS">Osteopathic Physician</option><option value="PS">Pharmacist</option><option value="PTA">Physical Therapy Assistant</option><option value="PT">Physical Therapy</option><option value="PA">Physician Assistants</option><option value="PAT">Physician Assistants Temporary</option><option value="PO">Podiatric Physician</option><option value="PY">Psychologist</option><option value="RN">Registered Nurse</option><option value="RPT">Registered Pharmacy Technician</option><option value="RT">Registered Respiratory Therapist (RRT)</option><option value="TUC">Respiratory Care Practitioner, Critical Care</option><option value="TUN">Respiratory Care Practitioner, Non-Critical Care</option><option value="SA">Speech Language Pathologist</option><option value="TRP">Therapeutic Radiological Physicist</option><option value="VFC">Visiting Faculty Certificate</option></select> </div> </div><div class="field-type-text field-name-field-other-license-number field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-other-license-number"><div id="profile-profile-field-other-license-number-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-other-license-number-und-0-value" aria-describedby="edit-profile-profile-field-other-license-number-und-0-value-description"> <div class="field-label"><label for="edit-profile-profile-field-other-license-number-und-0-value">Other license number</label> </div> <div class="description" id="edit-profile-profile-field-other-license-number-und-0-value-description">Include prefix with no space and no leading zeros.</div> <input class="text-full form-text" type="text" id="edit-profile-profile-field-other-license-number-und-0-value" name="profile_profile[field_other_license_number][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><div class="field-type-list-text field-name-field-other-profession field-widget-options-select form-wrapper" id="edit-profile-profile-field-other-profession"><div class="form-item form-type-select form-item-profile-profile-field-other-profession-und" aria-describedby="edit-profile-profile-field-other-profession-und-description"> <div class="field-label"><label for="edit-profile-profile-field-other-profession-und">Other profession</label> </div> <div class="description" id="edit-profile-profile-field-other-profession-und-description">If you have multiple licenses in Florida, please complete this section and provide other license number information. Applicable credits will be reported to CE Broker.</div> <select id="edit-profile-profile-field-other-profession-und" name="profile_profile[field_other_profession][und]" class="form-select"><option value="_none">- None -</option><option value="APRN">Advanced Practice Registered Nurse</option><option value="AL">Athletic Trainer</option><option value="AA">Certified Anesthesiologist Assistant</option><option value="CN">Certified Master Social Worker</option><option value="CNA">Certified Nursing Assistants</option><option value="PXA">Certified Podiatric X-Ray Limited</option><option value="TT">Certified Respiratory Care Therapist (CRT)</option><option value="DI">Clinical Laboratory Director</option><option value="SU">Clinical Laboratory Supervisor</option><option value="TC">Clinical Laboratory Technician</option><option value="TN">Clinical Laboratory Technologist</option><option value="CNS">Clinical Nurse Specialist</option><option value="PU">Consultants Pharmacist</option><option value="DN">Dentist</option><option value="DH">Dental Hygienist</option><option value="ND">Dietician/ Nutritionist</option><option value="HAD">Health Access Dentist</option><option value="SW">Licensed Clinical Social Worker</option><option value="LPY">Limited License Psychologist</option><option value="MT">Licensed Marriage and Family Therapist</option><option value="MH">Licensed Mental Health Counselor</option><option value="PN">Licensed Practical Nurse</option><option value="ME">Medical Doctors</option><option value="PHC">Medical Doctors – Public Health Certificate</option><option value="PPC">Medical Doctors – Public Psychiatry Certificate</option><option value="ACN">Medical Doctors – Area Clinical Need</option><option value="LL">Medical Doctors – Limited License</option><option value="MFC">Medical Doctor Medical Faculty Certificate</option><option value="NP">Nuclear Pharmacist</option><option value="NC">Nutrition Counselor</option><option value="OT">Occupational Therapist</option><option value="OTA">Occupational Therapy Assistant</option><option value="OS">Osteopathic Physician</option><option value="PS">Pharmacist</option><option value="PTA">Physical Therapy Assistant</option><option value="PT">Physical Therapy</option><option value="PA">Physician Assistants</option><option value="PAT">Physician Assistants Temporary</option><option value="PO">Podiatric Physician</option><option value="PY">Psychologist</option><option value="RN">Registered Nurse</option><option value="RPT">Registered Pharmacy Technician</option><option value="RT">Registered Respiratory Therapist (RRT)</option><option value="TUC">Respiratory Care Practitioner, Critical Care</option><option value="TUN">Respiratory Care Practitioner, Non-Critical Care</option><option value="SA">Speech Language Pathologist</option><option value="VFC">Visiting Faculty Certificate</option></select> </div> </div><div class="field-type-field-collection field-name-field-custom-specialty-board field-widget-field-collection-embed form-wrapper" id="edit-profile-profile-field-custom-specialty-board"><div id="profile-profile-field-custom-specialty-board-add-more-wrapper"><div class="form-item"><table id="field-custom-specialty-board-values" class="field-multiple-table sticky-enabled"> <thead><tr><th colspan="2" class="field-label"><label>Specialty Board </label><div class="description">By providing this information, I give Baptist Health permission to report my credits to specialty boards through the Accreditation Council for Continuing Medical Education (ACCME)’s PARS reporting system.</div></th><th>Order</th> </tr></thead> <tbody> <tr class="draggable odd"><td class="field-multiple-drag"></td><td><div class="field-type-list-text field-name-field-custom-board-name field-widget-options-select form-wrapper" id="edit-profile-profile-field-custom-specialty-board-und-0-field-custom-board-name"><div class="form-item form-type-select form-item-profile-profile-field-custom-specialty-board-und-0-field-custom-board-name-und"> <div class="field-label"><label for="edit-profile-profile-field-custom-specialty-board-und-0-field-custom-board-name-und">Board name</label> </div> <select id="edit-profile-profile-field-custom-specialty-board-und-0-field-custom-board-name-und" name="profile_profile[field_custom_specialty_board][und][0][field_custom_board_name][und]" class="form-select"><option value="_none">- None -</option><option value="abai">American Board of Allergy and Immunology</option><option value="aba">American Board of Anesthesiology</option><option value="abcrs">American Board of Colon and Rectal Surgery</option><option value="abd">American Board of Dermatology</option><option value="abem">American Board of Emergency Medicine</option><option value="abfm">American Board of Family Medicine</option><option value="abim">American Board of Internal Medicine</option><option value="abmgg">American Board of Medical Genetics and Genomics</option><option value="abns">American Board of Neurological Surgery</option><option value="abnm">American Board of Nuclear Medicine</option><option value="abog">American Board of Obstetrics and Gynecology</option><option value="aboph">American Board of Ophthalmology</option><option value="abos">American Board of Orthopaedic Surgery</option><option value="abo">American Board of Otolaryngology</option><option value="abpath">American Board of Pathology</option><option value="abp">American Board of Pediatrics</option><option value="abpmr">American Board of Preventive Medicine</option><option value="abps">American Board of Plastic Surgery</option><option value="abpn">American Board of Psychiatry and Neurology</option><option value="abr">American Board of Radiology</option><option value="abs">American Board of Surgery</option><option value="abts">American Board of Thoracic Surgery</option><option value="abu">American Board of Urology</option></select> </div> </div><div class="field-type-text field-name-field-custom-board-id field-widget-text-textfield form-wrapper" id="edit-profile-profile-field-custom-specialty-board-und-0-field-custom-board-id"><div id="profile-profile-field-custom-specialty-board-und-0-field-custom-board-id-add-more-wrapper"><div class="form-item form-type-textfield form-item-profile-profile-field-custom-specialty-board-und-0-field-custom-board-id-und-0-value"> <div class="field-label"><label for="edit-profile-profile-field-custom-specialty-board-und-0-field-custom-board-id-und-0-value">Board ID</label> </div> <input class="text-full form-text" type="text" id="edit-profile-profile-field-custom-specialty-board-und-0-field-custom-board-id-und-0-value" name="profile_profile[field_custom_specialty_board][und][0][field_custom_board_id][und][0][value]" value="" size="60" maxlength="255" /> </div> </div></div><input class="remove-button form-submit" type="submit" id="edit-profile-profile-field-custom-specialty-board-und-0-remove-button" name="profile_profile_field_custom_specialty_board_und_0_remove_button" value="Remove" /></td><td class="delta-order"><div class="form-item form-type-select form-item-profile-profile-field-custom-specialty-board-und-0--weight"> <div class="field-label"><label class="element-invisible" for="edit-profile-profile-field-custom-specialty-board-und-0-weight">Weight for row 1</label> </div> <select class="field_custom_specialty_board-delta-order form-select" id="edit-profile-profile-field-custom-specialty-board-und-0-weight" name="profile_profile[field_custom_specialty_board][und][0][_weight]"><option value="0" selected="selected">0</option></select> </div> </td> </tr> </tbody> </table> <div class="clearfix"><input class="field-add-more-submit form-submit" type="submit" id="edit-profile-profile-field-custom-specialty-board-und-add-more" name="profile_profile_field_custom_specialty_board_add_more" value="Add another" /></div></div></div></div><div class="field-type-date field-name-field-custom-date-of-birth field-widget-date-popup form-wrapper" id="edit-profile-profile-field-custom-date-of-birth"><div id="profile-profile-field-custom-date-of-birth-add-more-wrapper"><div class="form-item form-type-date-combo form-item-profile-profile-field-custom-date-of-birth-und-0"> <div class="date-form-element-content"><div class="date-no-float container-inline-date"><div class="form-item form-type-date-popup form-item-profile-profile-field-custom-date-of-birth-und-0-value"> <div id="edit-profile-profile-field-custom-date-of-birth-und-0-value" class="date-padding"><div class="form-item form-type-textfield form-item-profile-profile-field-custom-date-of-birth-und-0-value-date" aria-describedby="edit-profile-profile-field-custom-date-of-birth-und-0-value-datepicker-popup-0-description"> <div class="field-label"><label for="edit-profile-profile-field-custom-date-of-birth-und-0-value-datepicker-popup-0">Date of birth</label> </div> <div class="description" id="edit-profile-profile-field-custom-date-of-birth-und-0-value-datepicker-popup-0-description"> E.g., 11/26/2024</div> <input class="date-clear form-text" autocomplete="off" type="text" id="edit-profile-profile-field-custom-date-of-birth-und-0-value-datepicker-popup-0" name="profile_profile[field_custom_date_of_birth][und][0][value][date]" value="" size="20" maxlength="30" /> </div> </div> </div> </div></div> </div> </div></div><div class="field-type-list-text field-name-field-custom-subscribe field-widget-options-buttons form-wrapper" id="edit-profile-profile-field-custom-subscribe"><div class="form-item form-type-checkboxes form-item-profile-profile-field-custom-subscribe-und" aria-describedby="edit-profile-profile-field-custom-subscribe-und-description"> <div class="field-label"><label for="edit-profile-profile-field-custom-subscribe-und">Please subscribe to Baptist Health CME Portal email communications by indicating your preferences.</label> </div> <div class="description" id="edit-profile-profile-field-custom-subscribe-und-description">Select all that apply.</div> <div id="edit-profile-profile-field-custom-subscribe-und" class="form-checkboxes"><div class="form-item form-type-checkbox form-item-profile-profile-field-custom-subscribe-und-Monthly-Calendar"> <input type="checkbox" id="edit-profile-profile-field-custom-subscribe-und-monthly-calendar" name="profile_profile[field_custom_subscribe][und][Monthly Calendar]" value="Monthly Calendar" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-custom-subscribe-und-monthly-calendar">Monthly Calendar</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-custom-subscribe-und-Next-Week-in-CME-reminder"> <input type="checkbox" id="edit-profile-profile-field-custom-subscribe-und-next-week-in-cme-reminder" name="profile_profile[field_custom_subscribe][und][Next Week in CME reminder]" value="Next Week in CME reminder" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-custom-subscribe-und-next-week-in-cme-reminder">Next Week in CME reminder</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-custom-subscribe-und-Upcoming-Events"> <input type="checkbox" id="edit-profile-profile-field-custom-subscribe-und-upcoming-events" name="profile_profile[field_custom_subscribe][und][Upcoming Events]" value="Upcoming Events" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-custom-subscribe-und-upcoming-events">Upcoming Events (promotion appropriate to your specialty)</label> </div> </div> <div class="form-item form-type-checkbox form-item-profile-profile-field-custom-subscribe-und-Monthly-Online-Learning-Program"> <input type="checkbox" id="edit-profile-profile-field-custom-subscribe-und-monthly-online-learning-program" name="profile_profile[field_custom_subscribe][und][Monthly Online Learning Program]" value="Monthly Online Learning Program" class="form-checkbox" /> <div class="field-label"><label class="option" for="edit-profile-profile-field-custom-subscribe-und-monthly-online-learning-program">Monthly Online Learning Program</label> </div> </div> </div> </div> </div></div></fieldset> <input type="hidden" name="form_build_id" value="form-UwtcE-W0bsZCRPX9HRbCCYCv9DFohuqkqH6VIQxL61U" /> <input type="hidden" name="form_id" value="user_register_form" /> <input type="hidden" name="honeypot_time" value="1732676550|F1c7r1n0VCO_r4Ko4K0944YtoKnA6tFMhtRiuRu745Q" /> <fieldset class="collapsible form-wrapper" id="edit-sms-user"><legend><span class="fieldset-legend">Mobile settings</span></legend><div class="fieldset-wrapper"><div class="fieldset-description">You will receive a message to confirm your mobile information upon login.</div>By entering your phone number into our site, you consent to receive SMS messages from <em class="placeholder">Baptist Health CME</em> related to your course enrollments, event updates, and continuing education credits. Message frequency will vary based on your interactions and activities. Standard data rates may apply. To opt out at any time, reply STOP to any message you receive.<div class="form-item form-type-textfield form-item-sms-user-number"> <div class="field-label"><label for="edit-sms-user-number">Mobile phone number</label> <span class="form-required" title="This field is required.">*</span></div> <input type="text" id="edit-sms-user-number" name="sms_user[number]" value="" size="40" maxlength="16" class="form-text required" /> </div> <div class="form-item form-type-select form-item-sms-user-gateway-country"> <div class="field-label"><label for="edit-sms-user-gateway-country">Country</label> </div> <select id="edit-sms-user-gateway-country" name="sms_user[gateway][country]" class="form-select"><option value="93">Afghanistan</option><option value="355">Albania</option><option value="213">Algeria</option><option value="376">Andorra</option><option value="244">Angola</option><option value="1264">Anguilla</option><option value="1268">Antigua & Barbuda</option><option value="54">Argentina</option><option value="374">Armenia</option><option value="297">Aruba</option><option value="61">Australia</option><option value="43">Austria</option><option value="994">Azerbaijan</option><option value="1242">Bahamas</option><option value="973">Bahrain</option><option value="880">Bangladesh</option><option value="1246">Barbados</option><option value="375">Belarus</option><option value="32">Belgium</option><option value="501">Belize</option><option value="229">Benin</option><option value="1441">Bermuda</option><option value="975">Bhutan</option><option value="591">Bolivia</option><option value="387">Bosnia-Herzegovina</option><option value="267">Botswana</option><option value="55">Brazil</option><option value="1284">British Virgin Islands</option><option value="673">Brunei</option><option value="359">Bulgaria</option><option value="226">Burkina Faso</option><option value="257">Burundi</option><option value="855">Cambodia</option><option value="237">Cameroon</option><option value="238">Cape Verde</option><option value="1345">Cayman Islands</option><option value="236">Central African Republic</option><option value="235">Chad</option><option value="56">Chile</option><option value="86">China</option><option value="57">Colombia</option><option value="242">Congo</option><option value="243">Democratic Republic Congo</option><option value="682">Cook Islands</option><option value="385">Croatia</option><option value="53">Cuba</option><option value="357">Cyprus</option><option value="420">Czech Republic</option><option value="45">Denmark</option><option value="253">Djibouti</option><option value="1767">Dominica</option><option value="670">East Timor</option><option value="593">Ecuador</option><option value="20">Egypt</option><option value="503">El Salvador</option><option value="240">Equatorial Guinea</option><option value="372">Estonia</option><option value="251">Ethiopia</option><option value="500">Falkland Islands</option><option value="298">Faroe Islands</option><option value="679">Fiji</option><option value="358">Finland</option><option value="33">France</option><option value="594">French Guiana</option><option value="689">French Polynesia</option><option value="241">Gabon</option><option value="220">Gambia</option><option value="995">Georgia</option><option value="49">Germany</option><option value="233">Ghana</option><option value="350">Gibraltar</option><option value="881">Global Mobile Satellite</option><option value="30">Greece</option><option value="299">Greenland</option><option value="1473">Grenada</option><option value="590">Guadeloupe</option><option value="1671">Guam</option><option value="502">Guatemala</option><option value="224">Guinea</option><option value="592">Guyana</option><option value="509">Haiti</option><option value="504">Honduras</option><option value="852">HongKong</option><option value="36">Hungary</option><option value="354">Iceland</option><option value="91">India</option><option value="62">Indonesia</option><option value="98">Iran</option><option value="964">Iraq</option><option value="353">Ireland</option><option value="972">Israel</option><option value="39">Italy / Vatican City State</option><option value="225">Ivory Coast</option><option value="1876">Jamaica</option><option value="81">Japan</option><option value="962">Jordan</option><option value="254">Kenya</option><option value="82">Korea (South)</option><option value="965">Kuwait</option><option value="996">Kyrgyzstan</option><option value="856">Lao</option><option value="371">Latvia</option><option value="961">Lebanon</option><option value="266">Lesotho</option><option value="231">Liberia</option><option value="218">Libya</option><option value="423">Liechtenstein</option><option value="370">Lithuania</option><option value="352">Luxembourg</option><option value="853">Macau</option><option value="389">Macedonia</option><option value="261">Madagascar</option><option value="265">Malawi</option><option value="60">Malaysia</option><option value="960">Maldives</option><option value="223">Mali</option><option value="356">Malta</option><option value="596">Martinique</option><option value="222">Mauritania</option><option value="230">Mauritius</option><option value="269">Mayotte Island (Comoros)</option><option value="52">Mexico</option><option value="373">Moldova</option><option value="377">Monaco (Kosovo)</option><option value="976">Mongolia</option><option value="382">Montenegro</option><option value="1664">Montserrat</option><option value="212">Morocco</option><option value="258">Mozambique</option><option value="95">Myanmar</option><option value="264">Namibia</option><option value="977">Nepal</option><option value="31">Netherlands</option><option value="599">Netherlands Antilles</option><option value="687">New Caledonia</option><option value="64">New Zealand</option><option value="505">Nicaragua</option><option value="227">Niger</option><option value="234">Nigeria</option><option value="47">Norway</option><option value="968">Oman</option><option value="92">Pakistan</option><option value="970">Palestine (+970)</option><option value="9725">Palestine (+9725)</option><option value="507">Panama</option><option value="675">Papua New Guinea</option><option value="595">Paraguay</option><option value="51">Peru</option><option value="63">Philippines</option><option value="48">Poland</option><option value="351">Portugal</option><option value="974">Qatar</option><option value="262">Reunion</option><option value="40">Romania</option><option value="7">Russia / Kazakhstan</option><option value="250">Rwanda</option><option value="1670">Saipan</option><option value="1684">Samoa (American)</option><option value="685">Samoa (Western)</option><option value="378">San Marino</option><option value="882">Satellite-Thuraya</option><option value="966">Saudi Arabia</option><option value="221">Senegal</option><option value="381">Serbia</option><option value="248">Seychelles</option><option value="232">Sierra Leone</option><option value="65">Singapore</option><option value="421">Slovakia</option><option value="386">Slovenia</option><option value="677">Solomon Islands</option><option value="252">Somalia</option><option value="27">South Africa</option><option value="34">Spain / Canary Islands</option><option value="94">Sri Lanka</option><option value="1869">St. Kitts And Nevis</option><option value="1758">St. Lucia</option><option value="1784">St. Vincent</option><option value="249">Sudan</option><option value="597">Suriname</option><option value="268">Swaziland</option><option value="46">Sweden</option><option value="41">Switzerland</option><option value="963">Syria</option><option value="886">Taiwan</option><option value="992">Tajikistan</option><option value="255">Tanzania / Zanzibar</option><option value="66">Thailand</option><option value="228">Togo</option><option value="676">Tonga Islands</option><option value="1868">Trinidad and Tobago</option><option value="216">Tunisia</option><option value="90">Turkey</option><option value="993">Turkmenistan</option><option value="1649">Turks and Caicos Islands</option><option value="256">Uganda</option><option value="44">UK / Isle of Man / Jersey / Guernsey</option><option value="380">Ukraine</option><option value="971">United Arab Emirates</option><option value="598">Uruguay</option><option value="1" selected="selected">USA / Canada / Dominican Rep. / Puerto Rico</option><option value="998">Uzbekistan</option><option value="678">Vanuatu</option><option value="58">Venezuela</option><option value="84">Vietnam</option><option value="967">Yemen</option><option value="260">Zambia</option><option value="263">Zimbabwe</option></select> </div> </div></fieldset> <fieldset class="collapsible form-wrapper" id="edit-timezone"><legend><span class="fieldset-legend">Locale settings</span></legend><div class="fieldset-wrapper"><div class="form-item form-type-select form-item-timezone" aria-describedby="edit-timezone-2-description"> <div class="field-label"><label for="edit-timezone--2">Time zone</label> </div> <div class="description" id="edit-timezone-2-description">Select the desired local time and time zone. Dates and times throughout this site will be displayed using this time zone.</div> <select class="timezone-detect form-select" id="edit-timezone--2" name="timezone"><option value="Africa/Abidjan">Africa/Abidjan: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Accra">Africa/Accra: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Addis_Ababa">Africa/Addis Ababa: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Africa/Algiers">Africa/Algiers: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Asmara">Africa/Asmara: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Africa/Bamako">Africa/Bamako: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Bangui">Africa/Bangui: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Banjul">Africa/Banjul: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Bissau">Africa/Bissau: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Blantyre">Africa/Blantyre: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Brazzaville">Africa/Brazzaville: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Bujumbura">Africa/Bujumbura: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Cairo">Africa/Cairo: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Casablanca">Africa/Casablanca: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Ceuta">Africa/Ceuta: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Conakry">Africa/Conakry: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Dakar">Africa/Dakar: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Dar_es_Salaam">Africa/Dar es Salaam: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Africa/Djibouti">Africa/Djibouti: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Africa/Douala">Africa/Douala: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/El_Aaiun">Africa/El Aaiun: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Freetown">Africa/Freetown: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Gaborone">Africa/Gaborone: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Harare">Africa/Harare: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Johannesburg">Africa/Johannesburg: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Juba">Africa/Juba: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Kampala">Africa/Kampala: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Africa/Khartoum">Africa/Khartoum: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Kigali">Africa/Kigali: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Kinshasa">Africa/Kinshasa: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Lagos">Africa/Lagos: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Libreville">Africa/Libreville: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Lome">Africa/Lome: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Luanda">Africa/Luanda: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Lubumbashi">Africa/Lubumbashi: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Lusaka">Africa/Lusaka: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Malabo">Africa/Malabo: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Maputo">Africa/Maputo: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Maseru">Africa/Maseru: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Mbabane">Africa/Mbabane: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Mogadishu">Africa/Mogadishu: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Africa/Monrovia">Africa/Monrovia: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Nairobi">Africa/Nairobi: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Africa/Ndjamena">Africa/Ndjamena: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Niamey">Africa/Niamey: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Nouakchott">Africa/Nouakchott: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Ouagadougou">Africa/Ouagadougou: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Porto-Novo">Africa/Porto-Novo: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Sao_Tome">Africa/Sao Tome: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Africa/Tripoli">Africa/Tripoli: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Africa/Tunis">Africa/Tunis: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Africa/Windhoek">Africa/Windhoek: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="America/Adak">America/Adak: Tuesday, November 26, 2024 - 5:02pm -1000</option><option value="America/Anchorage">America/Anchorage: Tuesday, November 26, 2024 - 6:02pm -0900</option><option value="America/Anguilla">America/Anguilla: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Antigua">America/Antigua: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Araguaina">America/Araguaina: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Buenos_Aires">America/Argentina/Buenos Aires: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Catamarca">America/Argentina/Catamarca: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Cordoba">America/Argentina/Cordoba: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Jujuy">America/Argentina/Jujuy: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/La_Rioja">America/Argentina/La Rioja: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Mendoza">America/Argentina/Mendoza: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Rio_Gallegos">America/Argentina/Rio Gallegos: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Salta">America/Argentina/Salta: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/San_Juan">America/Argentina/San Juan: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/San_Luis">America/Argentina/San Luis: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Tucuman">America/Argentina/Tucuman: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Argentina/Ushuaia">America/Argentina/Ushuaia: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Aruba">America/Aruba: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Asuncion">America/Asuncion: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Atikokan">America/Atikokan: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Bahia_Banderas">America/Bahia Banderas: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Bahia">America/Bahia: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Barbados">America/Barbados: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Belem">America/Belem: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Belize">America/Belize: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Blanc-Sablon">America/Blanc-Sablon: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Boa_Vista">America/Boa Vista: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Bogota">America/Bogota: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Boise">America/Boise: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Cambridge_Bay">America/Cambridge Bay: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Campo_Grande">America/Campo Grande: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Cancun">America/Cancun: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Caracas">America/Caracas: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Cayenne">America/Cayenne: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Cayman">America/Cayman: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Chicago">America/Chicago: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Chihuahua">America/Chihuahua: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Ciudad_Juarez">America/Ciudad Juarez: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Costa_Rica">America/Costa Rica: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Creston">America/Creston: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Cuiaba">America/Cuiaba: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Curacao">America/Curacao: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Danmarkshavn">America/Danmarkshavn: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="America/Dawson_Creek">America/Dawson Creek: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Dawson">America/Dawson: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Denver">America/Denver: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Detroit">America/Detroit: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Dominica">America/Dominica: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Edmonton">America/Edmonton: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Eirunepe">America/Eirunepe: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/El_Salvador">America/El Salvador: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Fort_Nelson">America/Fort Nelson: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Fortaleza">America/Fortaleza: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Glace_Bay">America/Glace Bay: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Goose_Bay">America/Goose Bay: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Grand_Turk">America/Grand Turk: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Grenada">America/Grenada: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Guadeloupe">America/Guadeloupe: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Guatemala">America/Guatemala: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Guayaquil">America/Guayaquil: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Guyana">America/Guyana: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Halifax">America/Halifax: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Havana">America/Havana: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Hermosillo">America/Hermosillo: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Indiana/Indianapolis">America/Indiana/Indianapolis: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Indiana/Knox">America/Indiana/Knox: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Indiana/Marengo">America/Indiana/Marengo: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Indiana/Petersburg">America/Indiana/Petersburg: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Indiana/Tell_City">America/Indiana/Tell City: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Indiana/Vevay">America/Indiana/Vevay: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Indiana/Vincennes">America/Indiana/Vincennes: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Indiana/Winamac">America/Indiana/Winamac: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Inuvik">America/Inuvik: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Iqaluit">America/Iqaluit: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Jamaica">America/Jamaica: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Juneau">America/Juneau: Tuesday, November 26, 2024 - 6:02pm -0900</option><option value="America/Kentucky/Louisville">America/Kentucky/Louisville: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Kentucky/Monticello">America/Kentucky/Monticello: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Kralendijk">America/Kralendijk: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/La_Paz">America/La Paz: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Lima">America/Lima: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Los_Angeles">America/Los Angeles: Tuesday, November 26, 2024 - 7:02pm -0800</option><option value="America/Lower_Princes">America/Lower Princes: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Maceio">America/Maceio: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Managua">America/Managua: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Manaus">America/Manaus: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Marigot">America/Marigot: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Martinique">America/Martinique: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Matamoros">America/Matamoros: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Mazatlan">America/Mazatlan: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Menominee">America/Menominee: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Merida">America/Merida: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Metlakatla">America/Metlakatla: Tuesday, November 26, 2024 - 6:02pm -0900</option><option value="America/Mexico_City">America/Mexico City: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Miquelon">America/Miquelon: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Moncton">America/Moncton: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Monterrey">America/Monterrey: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Montevideo">America/Montevideo: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Montserrat">America/Montserrat: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Nassau">America/Nassau: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/New_York" selected="selected">America/New York: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Nome">America/Nome: Tuesday, November 26, 2024 - 6:02pm -0900</option><option value="America/Noronha">America/Noronha: Wednesday, November 27, 2024 - 1:02am -0200</option><option value="America/North_Dakota/Beulah">America/North Dakota/Beulah: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/North_Dakota/Center">America/North Dakota/Center: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/North_Dakota/New_Salem">America/North Dakota/New Salem: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Nuuk">America/Nuuk: Wednesday, November 27, 2024 - 1:02am -0200</option><option value="America/Ojinaga">America/Ojinaga: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Panama">America/Panama: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Paramaribo">America/Paramaribo: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Phoenix">America/Phoenix: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Port_of_Spain">America/Port of Spain: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Port-au-Prince">America/Port-au-Prince: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Porto_Velho">America/Porto Velho: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Puerto_Rico">America/Puerto Rico: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Punta_Arenas">America/Punta Arenas: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Rankin_Inlet">America/Rankin Inlet: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Recife">America/Recife: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Regina">America/Regina: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Resolute">America/Resolute: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Rio_Branco">America/Rio Branco: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Santarem">America/Santarem: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Santiago">America/Santiago: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Santo_Domingo">America/Santo Domingo: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Sao_Paulo">America/Sao Paulo: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="America/Scoresbysund">America/Scoresbysund: Wednesday, November 27, 2024 - 1:02am -0200</option><option value="America/Sitka">America/Sitka: Tuesday, November 26, 2024 - 6:02pm -0900</option><option value="America/St_Barthelemy">America/St Barthelemy: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/St_Johns">America/St Johns: Tuesday, November 26, 2024 - 11:32pm -0330</option><option value="America/St_Kitts">America/St Kitts: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/St_Lucia">America/St Lucia: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/St_Thomas">America/St Thomas: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/St_Vincent">America/St Vincent: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Swift_Current">America/Swift Current: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Tegucigalpa">America/Tegucigalpa: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Thule">America/Thule: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Tijuana">America/Tijuana: Tuesday, November 26, 2024 - 7:02pm -0800</option><option value="America/Toronto">America/Toronto: Tuesday, November 26, 2024 - 10:02pm -0500</option><option value="America/Tortola">America/Tortola: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="America/Vancouver">America/Vancouver: Tuesday, November 26, 2024 - 7:02pm -0800</option><option value="America/Whitehorse">America/Whitehorse: Tuesday, November 26, 2024 - 8:02pm -0700</option><option value="America/Winnipeg">America/Winnipeg: Tuesday, November 26, 2024 - 9:02pm -0600</option><option value="America/Yakutat">America/Yakutat: Tuesday, November 26, 2024 - 6:02pm -0900</option><option value="Antarctica/Casey">Antarctica/Casey: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Antarctica/Davis">Antarctica/Davis: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Antarctica/DumontDUrville">Antarctica/DumontDUrville: Wednesday, November 27, 2024 - 1:02pm +1000</option><option value="Antarctica/Macquarie">Antarctica/Macquarie: Wednesday, November 27, 2024 - 2:02pm +1100</option><option value="Antarctica/Mawson">Antarctica/Mawson: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Antarctica/McMurdo">Antarctica/McMurdo: Wednesday, November 27, 2024 - 4:02pm +1300</option><option value="Antarctica/Palmer">Antarctica/Palmer: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="Antarctica/Rothera">Antarctica/Rothera: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="Antarctica/Syowa">Antarctica/Syowa: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Antarctica/Troll">Antarctica/Troll: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Antarctica/Vostok">Antarctica/Vostok: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Arctic/Longyearbyen">Arctic/Longyearbyen: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Asia/Aden">Asia/Aden: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Asia/Almaty">Asia/Almaty: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Amman">Asia/Amman: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Asia/Anadyr">Asia/Anadyr: Wednesday, November 27, 2024 - 3:02pm +1200</option><option value="Asia/Aqtau">Asia/Aqtau: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Aqtobe">Asia/Aqtobe: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Ashgabat">Asia/Ashgabat: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Atyrau">Asia/Atyrau: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Baghdad">Asia/Baghdad: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Asia/Bahrain">Asia/Bahrain: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Asia/Baku">Asia/Baku: Wednesday, November 27, 2024 - 7:02am +0400</option><option value="Asia/Bangkok">Asia/Bangkok: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Barnaul">Asia/Barnaul: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Beirut">Asia/Beirut: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Asia/Bishkek">Asia/Bishkek: Wednesday, November 27, 2024 - 9:02am +0600</option><option value="Asia/Brunei">Asia/Brunei: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Chita">Asia/Chita: Wednesday, November 27, 2024 - 12:02pm +0900</option><option value="Asia/Choibalsan">Asia/Choibalsan: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Colombo">Asia/Colombo: Wednesday, November 27, 2024 - 8:32am +0530</option><option value="Asia/Damascus">Asia/Damascus: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Asia/Dhaka">Asia/Dhaka: Wednesday, November 27, 2024 - 9:02am +0600</option><option value="Asia/Dili">Asia/Dili: Wednesday, November 27, 2024 - 12:02pm +0900</option><option value="Asia/Dubai">Asia/Dubai: Wednesday, November 27, 2024 - 7:02am +0400</option><option value="Asia/Dushanbe">Asia/Dushanbe: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Famagusta">Asia/Famagusta: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Asia/Gaza">Asia/Gaza: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Asia/Hebron">Asia/Hebron: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Asia/Ho_Chi_Minh">Asia/Ho Chi Minh: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Hong_Kong">Asia/Hong Kong: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Hovd">Asia/Hovd: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Irkutsk">Asia/Irkutsk: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Jakarta">Asia/Jakarta: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Jayapura">Asia/Jayapura: Wednesday, November 27, 2024 - 12:02pm +0900</option><option value="Asia/Jerusalem">Asia/Jerusalem: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Asia/Kabul">Asia/Kabul: Wednesday, November 27, 2024 - 7:32am +0430</option><option value="Asia/Kamchatka">Asia/Kamchatka: Wednesday, November 27, 2024 - 3:02pm +1200</option><option value="Asia/Karachi">Asia/Karachi: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Kathmandu">Asia/Kathmandu: Wednesday, November 27, 2024 - 8:47am +0545</option><option value="Asia/Khandyga">Asia/Khandyga: Wednesday, November 27, 2024 - 12:02pm +0900</option><option value="Asia/Kolkata">Asia/Kolkata: Wednesday, November 27, 2024 - 8:32am +0530</option><option value="Asia/Krasnoyarsk">Asia/Krasnoyarsk: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Kuala_Lumpur">Asia/Kuala Lumpur: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Kuching">Asia/Kuching: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Kuwait">Asia/Kuwait: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Asia/Macau">Asia/Macau: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Magadan">Asia/Magadan: Wednesday, November 27, 2024 - 2:02pm +1100</option><option value="Asia/Makassar">Asia/Makassar: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Manila">Asia/Manila: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Muscat">Asia/Muscat: Wednesday, November 27, 2024 - 7:02am +0400</option><option value="Asia/Nicosia">Asia/Nicosia: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Asia/Novokuznetsk">Asia/Novokuznetsk: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Novosibirsk">Asia/Novosibirsk: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Omsk">Asia/Omsk: Wednesday, November 27, 2024 - 9:02am +0600</option><option value="Asia/Oral">Asia/Oral: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Phnom_Penh">Asia/Phnom Penh: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Pontianak">Asia/Pontianak: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Pyongyang">Asia/Pyongyang: Wednesday, November 27, 2024 - 12:02pm +0900</option><option value="Asia/Qatar">Asia/Qatar: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Asia/Qostanay">Asia/Qostanay: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Qyzylorda">Asia/Qyzylorda: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Riyadh">Asia/Riyadh: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Asia/Sakhalin">Asia/Sakhalin: Wednesday, November 27, 2024 - 2:02pm +1100</option><option value="Asia/Samarkand">Asia/Samarkand: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Seoul">Asia/Seoul: Wednesday, November 27, 2024 - 12:02pm +0900</option><option value="Asia/Shanghai">Asia/Shanghai: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Singapore">Asia/Singapore: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Srednekolymsk">Asia/Srednekolymsk: Wednesday, November 27, 2024 - 2:02pm +1100</option><option value="Asia/Taipei">Asia/Taipei: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Tashkent">Asia/Tashkent: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Tbilisi">Asia/Tbilisi: Wednesday, November 27, 2024 - 7:02am +0400</option><option value="Asia/Tehran">Asia/Tehran: Wednesday, November 27, 2024 - 6:32am +0330</option><option value="Asia/Thimphu">Asia/Thimphu: Wednesday, November 27, 2024 - 9:02am +0600</option><option value="Asia/Tokyo">Asia/Tokyo: Wednesday, November 27, 2024 - 12:02pm +0900</option><option value="Asia/Tomsk">Asia/Tomsk: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Ulaanbaatar">Asia/Ulaanbaatar: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Asia/Urumqi">Asia/Urumqi: Wednesday, November 27, 2024 - 9:02am +0600</option><option value="Asia/Ust-Nera">Asia/Ust-Nera: Wednesday, November 27, 2024 - 1:02pm +1000</option><option value="Asia/Vientiane">Asia/Vientiane: Wednesday, November 27, 2024 - 10:02am +0700</option><option value="Asia/Vladivostok">Asia/Vladivostok: Wednesday, November 27, 2024 - 1:02pm +1000</option><option value="Asia/Yakutsk">Asia/Yakutsk: Wednesday, November 27, 2024 - 12:02pm +0900</option><option value="Asia/Yangon">Asia/Yangon: Wednesday, November 27, 2024 - 9:32am +0630</option><option value="Asia/Yekaterinburg">Asia/Yekaterinburg: Wednesday, November 27, 2024 - 8:02am +0500</option><option value="Asia/Yerevan">Asia/Yerevan: Wednesday, November 27, 2024 - 7:02am +0400</option><option value="Atlantic/Azores">Atlantic/Azores: Wednesday, November 27, 2024 - 2:02am -0100</option><option value="Atlantic/Bermuda">Atlantic/Bermuda: Tuesday, November 26, 2024 - 11:02pm -0400</option><option value="Atlantic/Canary">Atlantic/Canary: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Atlantic/Cape_Verde">Atlantic/Cape Verde: Wednesday, November 27, 2024 - 2:02am -0100</option><option value="Atlantic/Faroe">Atlantic/Faroe: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Atlantic/Madeira">Atlantic/Madeira: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Atlantic/Reykjavik">Atlantic/Reykjavik: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Atlantic/South_Georgia">Atlantic/South Georgia: Wednesday, November 27, 2024 - 1:02am -0200</option><option value="Atlantic/St_Helena">Atlantic/St Helena: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Atlantic/Stanley">Atlantic/Stanley: Wednesday, November 27, 2024 - 12:02am -0300</option><option value="Australia/Adelaide">Australia/Adelaide: Wednesday, November 27, 2024 - 1:32pm +1030</option><option value="Australia/Brisbane">Australia/Brisbane: Wednesday, November 27, 2024 - 1:02pm +1000</option><option value="Australia/Broken_Hill">Australia/Broken Hill: Wednesday, November 27, 2024 - 1:32pm +1030</option><option value="Australia/Darwin">Australia/Darwin: Wednesday, November 27, 2024 - 12:32pm +0930</option><option value="Australia/Eucla">Australia/Eucla: Wednesday, November 27, 2024 - 11:47am +0845</option><option value="Australia/Hobart">Australia/Hobart: Wednesday, November 27, 2024 - 2:02pm +1100</option><option value="Australia/Lindeman">Australia/Lindeman: Wednesday, November 27, 2024 - 1:02pm +1000</option><option value="Australia/Lord_Howe">Australia/Lord Howe: Wednesday, November 27, 2024 - 2:02pm +1100</option><option value="Australia/Melbourne">Australia/Melbourne: Wednesday, November 27, 2024 - 2:02pm +1100</option><option value="Australia/Perth">Australia/Perth: Wednesday, November 27, 2024 - 11:02am +0800</option><option value="Australia/Sydney">Australia/Sydney: Wednesday, November 27, 2024 - 2:02pm +1100</option><option value="Europe/Amsterdam">Europe/Amsterdam: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Andorra">Europe/Andorra: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Astrakhan">Europe/Astrakhan: Wednesday, November 27, 2024 - 7:02am +0400</option><option value="Europe/Athens">Europe/Athens: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Europe/Belgrade">Europe/Belgrade: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Berlin">Europe/Berlin: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Bratislava">Europe/Bratislava: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Brussels">Europe/Brussels: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Bucharest">Europe/Bucharest: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Europe/Budapest">Europe/Budapest: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Busingen">Europe/Busingen: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Chisinau">Europe/Chisinau: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Europe/Copenhagen">Europe/Copenhagen: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Dublin">Europe/Dublin: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Europe/Gibraltar">Europe/Gibraltar: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Guernsey">Europe/Guernsey: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Europe/Helsinki">Europe/Helsinki: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Europe/Isle_of_Man">Europe/Isle of Man: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Europe/Istanbul">Europe/Istanbul: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Europe/Jersey">Europe/Jersey: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Europe/Kaliningrad">Europe/Kaliningrad: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Europe/Kirov">Europe/Kirov: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Europe/Kyiv">Europe/Kyiv: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Europe/Lisbon">Europe/Lisbon: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Europe/Ljubljana">Europe/Ljubljana: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/London">Europe/London: Wednesday, November 27, 2024 - 3:02am +0000</option><option value="Europe/Luxembourg">Europe/Luxembourg: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Madrid">Europe/Madrid: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Malta">Europe/Malta: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Mariehamn">Europe/Mariehamn: Wednesday, November 27, 2024 - 5:02am +0200</option><option value="Europe/Minsk">Europe/Minsk: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Europe/Monaco">Europe/Monaco: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Moscow">Europe/Moscow: Wednesday, November 27, 2024 - 6:02am +0300</option><option value="Europe/Oslo">Europe/Oslo: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Paris">Europe/Paris: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Podgorica">Europe/Podgorica: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Prague">Europe/Prague: Wednesday, November 27, 2024 - 4:02am +0100</option><option value="Europe/Riga">Europe/Riga: Wednesday, November 27, 2024 - 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