1. Attendance Verification - Final Page

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The AMA requires that the number of credits listed on CME certificates be based on the actual credit claimed by each physician. You will need to fill out the below questions in order to receive your CME certificate. Your certificate will be emailed to you 2-3 weeks after the survey is completed.

* Questions with an asterisk are required before evaluation can be submitted.

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* 1. YOUR NAME FOR CERTIFICATE: Please type your name how you would like it to appear on your certificate.
*THIS QUESTION REQUIRES AN ANSWER

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* 2. Your Degree
*THIS QUESTION REQUIRES AN ANSWER

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* 3. Your Email address for Certificate:
*THIS QUESTION REQUIRES AN ANSWER

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* 4. Do you need APA credits for Psychologists? (Must have attended entire course)

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* 5. Do you need RN credits for Nurses? (Must have attended the entire course)

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* 6. Do you need NBCC credit for counselors?

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* 7. If yes, please complete the NBCC tracking form below. Check all talks you attended; a check indicates your electronic signature: Please skip if you do not need. **MD participants please scroll down to question 51

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* 8. Do you need SW credits for Social Workers? (Must have attended entire course).

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* 9.

ACCREDITATION

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this live activity for a maximum of 20.0AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you did not attend every session please use the session listing below to help calculate your total credits/hours to be awarded.


Thursday - morning sessions (3.50 CME hrs)

Thursday - afternoon sessions (3.50 CME hrs)

Friday - morning sessions (3.50 CME hrs)

Friday - afternoon sessions (3.50 CME hrs)

Saturday - morning sessions (3.50 CME hrs)

Saturday - afternoon sessions (2.50 CME hrs)

How many credits will you be claiming?

*THIS QUESTION REQUIRES AN ANSWER

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