EQUIP: Program Enrollment

To enroll in the EQUIP program, please download the enrollment form below and fax it to EQUIP at (770) 488-4097. If you have questions about the program, please contact:

Centers for Disease Control and Prevention (CDC)
Ensuring the Quality of Urinary Iodine Procedures
ATTN: EQUIP Coordinator – Amir A. Makhmudov
4770 Buford Highway N.E., Mailstop S103-1
Atlanta, GA 30341-3724 USA

Fax Number:  (770) 488-4097
E-mail: iodinelab@cdc.gov


EQUIP Enrollment Form [PDF – 188 KB]