2020 Medicine For Today at Urbana Credit Claim Survey

Question Title

* 1. Contact details for CME records and certificate distribution:

Name:

Credentials:

Address:

City:

State:

Zip:

Email address for certificate distribution:

AAFP Number:

Phone:

Question Title

* 2. Please select the type of credit you wish to claim for this conference:

AMA PRA Category 1 Credit (Physicians Only)

Prescribed Credit (Physicians Only)

Certificate of Participation (All non-physician learners)

	.25	.50	.75	1.00
Update on HCV, Primary Care after Anti-Viral Treatment	Update on HCV, Primary Care after Anti-Viral Treatment .25	Update on HCV, Primary Care after Anti-Viral Treatment .50	Update on HCV, Primary Care after Anti-Viral Treatment .75	Update on HCV, Primary Care after Anti-Viral Treatment 1.00
Cultural Renovation: Applying Principles to Family Medicine Residency	Cultural Renovation: Applying Principles to Family Medicine Residency .25	Cultural Renovation: Applying Principles to Family Medicine Residency .50	Cultural Renovation: Applying Principles to Family Medicine Residency .75	Cultural Renovation: Applying Principles to Family Medicine Residency 1.00
Opioid Use Disorder: Treatment in Primary Care Settings	Opioid Use Disorder: Treatment in Primary Care Settings .25	Opioid Use Disorder: Treatment in Primary Care Settings .50	Opioid Use Disorder: Treatment in Primary Care Settings .75	Opioid Use Disorder: Treatment in Primary Care Settings 1.00
Physician Wellness and Engagement: An Organizational Challenge and Potential Solution	Physician Wellness and Engagement: An Organizational Challenge and Potential Solution .25	Physician Wellness and Engagement: An Organizational Challenge and Potential Solution .50	Physician Wellness and Engagement: An Organizational Challenge and Potential Solution .75	Physician Wellness and Engagement: An Organizational Challenge and Potential Solution 1.00
Sexual Harassment Prevention	Sexual Harassment Prevention .25	Sexual Harassment Prevention .50	Sexual Harassment Prevention .75	Sexual Harassment Prevention 1.00
Medical Cannabis in My Practice	Medical Cannabis in My Practice .25	Medical Cannabis in My Practice .50	Medical Cannabis in My Practice .75	Medical Cannabis in My Practice 1.00
Harm Prevention and Harm Reduction in Opioid Safety	Harm Prevention and Harm Reduction in Opioid Safety .25	Harm Prevention and Harm Reduction in Opioid Safety .50	Harm Prevention and Harm Reduction in Opioid Safety .75	Harm Prevention and Harm Reduction in Opioid Safety 1.00

.25

.50

.75

1.00

Update on HCV, Primary Care after Anti-Viral Treatment

Update on HCV, Primary Care after Anti-Viral Treatment .25

Update on HCV, Primary Care after Anti-Viral Treatment .50

Update on HCV, Primary Care after Anti-Viral Treatment .75

Update on HCV, Primary Care after Anti-Viral Treatment 1.00

Cultural Renovation: Applying Principles to Family Medicine Residency

Cultural Renovation: Applying Principles to Family Medicine Residency .25

Cultural Renovation: Applying Principles to Family Medicine Residency .50

Cultural Renovation: Applying Principles to Family Medicine Residency .75

Cultural Renovation: Applying Principles to Family Medicine Residency 1.00

Opioid Use Disorder: Treatment in Primary Care Settings

Opioid Use Disorder: Treatment in Primary Care Settings .25

Opioid Use Disorder: Treatment in Primary Care Settings .50

Opioid Use Disorder: Treatment in Primary Care Settings .75

Opioid Use Disorder: Treatment in Primary Care Settings 1.00

Physician Wellness and Engagement: An Organizational Challenge and Potential Solution

Physician Wellness and Engagement: An Organizational Challenge and Potential Solution .25

Physician Wellness and Engagement: An Organizational Challenge and Potential Solution .50

Physician Wellness and Engagement: An Organizational Challenge and Potential Solution .75

Physician Wellness and Engagement: An Organizational Challenge and Potential Solution 1.00

Sexual Harassment Prevention

Sexual Harassment Prevention .25

Sexual Harassment Prevention .50

Sexual Harassment Prevention .75

Sexual Harassment Prevention 1.00

Medical Cannabis in My Practice

Medical Cannabis in My Practice .25

Medical Cannabis in My Practice .50

Medical Cannabis in My Practice .75

Medical Cannabis in My Practice 1.00

Harm Prevention and Harm Reduction in Opioid Safety

Harm Prevention and Harm Reduction in Opioid Safety .25

Harm Prevention and Harm Reduction in Opioid Safety .50

Harm Prevention and Harm Reduction in Opioid Safety .75

Harm Prevention and Harm Reduction in Opioid Safety 1.00

2020 Medicine For Today at Urbana Credit Claim

Please select the amount of credit you wish to claim for each session:

Question Title

* 1. Contact details for CME records and certificate distribution:

Question Title

* 2. Please select the type of credit you wish to claim for this conference:

Question Title

* 3. Please enter the amount of credit you are claiming for each session.