*** A Zoom account is not required if you are joining Zoom Meetings as a participant. ***

First and Last Name*
Name is required.Exceeded maximum number of characters.

Job Title (Ex. Student, Professor, Clinical Nurse Coordinator)*
Title is required.Exceeded maximum number of characters.

Department (If student, enter your college major)*


Telephone (or Mobile # if working from home)
A valid telephone number is required.Exceeded maximum number of characters.


Select Role and enter email address*


Executive (Faculty, Director, Department Account)
Health Professional (HIPAA-Compliant Account)
Staff (Clerical, I.T., Administrative Positions)
Student (PhD, Graduate, Undergraduate, Teaching Assistants)



Would you like a Zoom or RealPresence Account?*
Zoom Account       RealPresence Account

Do you require a HIPAA compliant connection?* (Select Yes only if you need to protect patient's medical records or health information.)
No    Yes

Do you handle protected health information (PHI)?*
No    Yes

Are you the Meeting Host or the Meeting Scheduler?*
No    Yes

Will you host meetings longer than 40-minutes?*
No    Yes

Do you want to Live Stream on YouTube?*
No    Yes

Do you want to Live Stream on Facebook ?*
No    Yes

For Zoom Webinar orders, complete Webinar Request Form or click here for Webinar Pricing information.


Please allow 1 business day for processing. Account activation instructions will be emailed to you from Zoom.