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ABS CME Credit Request

Request for American Board of Surgery (ABS) CME

This form to provide permission for the AAP to report your CME credit to the ABS on behalf of the surgeon. You still need to complete the AAP CME Claim Form found on the AAP Conference Planner app.
1.First Name(Required.)
2.Last Name(Required.)
3.Date of Birth:(Required.)
Date / Time
4.State in which you are licensed:(Required.)
5.State license number:(Required.)