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This claim form is for physicians and others who do not need to report pharmacotherapeutic hours. Nurses and other learners who need to report pharmacotherapeutic hours should use the claim form at: https://www.surveymonkey.com/r/2018agmcme-ph

Please do not complete and submit this form until you have attended all the sessions you plan to. Please claim all your hours at once for the Pre-Meeting Symposium, Annual Meeting, and any Meet the Experts breakfast sessions.  

Submit this form only once by December 2, 2018, to receive your certificate from The North American Menopause Society (NAMS). NAMS will mail your certificate before the end of December.

NAMS is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

NAMS designates the 2018 Utian Translational Science Symposium live activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™. 

NAMS designates the 2018 Pre-Meeting Symposium live activity for a maximum of 4.0 AMA PRA Category 1 Credit(s)™. 
 
NAMS designates the 2018 Annual Meeting live activity for a maximum of 23.0 AMA PRA Category 1 Credit(s)™. These credits include 21.0 AMA PRA Category 1 Credit(s)™ for the Annual Meeting lectures, symposia, and concurrent sessions, and 2.0 AMA PRA Category 1 Credit(s)™ for the optional Meet the Experts Breakfast Sessions
 
Note that the maximum number of hours is the first number in the drop-down menu.

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* 1. Demographic information (Complete all fields to ensure that your certificate is issued properly. List your name and credentials just as they should appear on your certificate.)


Use the drop-down menus below to indicate how many hours you are claiming for each session you attended. The first number in the drop-down menu indicates the maximum. Skip over any sessions you did not attend.
Tuesday, October 2, 2018
 Wednesday, October 3, 2018
Thursday, October 12, 2017
Friday, October 5, 2018
Saturday, October 14,2017

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* 23. I have completed and submit this CME Verification Form as of the date below (please enter today's date):

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