342466 Attestation - School Mental Health: Treating Students K - 12

1. Attendance Verification - Final Page

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Harvard Medical School and Cambridge Health Alliance requires that the number of credits listed on CME certificates be based on the actual credit claimed by each attendee. You will need to fill out the below questions in order to receive your CME certificate. Your certificate will be emailed to you 3 weeks after the survey is completed. The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians and by the Cambridge Health Alliance for other disciplines.

ONCE THIS PAGE IS SUBMITTED YOU WILL NOT BE ABLE TO REENTER THE SURVEY

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

Question Title

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

Question Title

* 2. Your Degree
*THIS QUESTION REQUIRES AN ANSWER

Question Title

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

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* 4.
ACCREDITATION STATEMENT

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Cambridge Health Alliance is the provider of continuing education credits for other disciplines.

Designation Statement:
The Harvard Medical School designates this live activity for a maximum of 14.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Course Credit Breakdown:
Attendees 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.

Friday - AM sessions (4.0 credits/hrs)

Friday - PM sessions (3.0 credits/hrs) - Total 7 hours

Saturday - AM sessions (4.0 credits/hrs)

Saturday - PM sessions (3.0 credits/hrs) - Total 7 hours

Friday and Saturday Total - 14 hours

How many credits will you be claiming?
*THIS QUESTION REQUIRES AN ANSWER

Question Title

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

Question Title

* 2. Your Degree *THIS QUESTION REQUIRES AN ANSWER

Question Title

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

Question Title

ACCREDITATION STATEMENT

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

* 2. Your Degree
*THIS QUESTION REQUIRES AN ANSWER

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