You must complete this form to receive credit for the 2018 Research Symposium Poster Activity.

Please complete the following for poster author/applicant:

Question Title

* 1. Please complete the following for poster author/applicant:

Disclosures:  None of the planners of this activity have any financial relationships with commercial interests.  Please check: I have submitted my financial disclosure to Natividad:

Question Title

* 2. Disclosures:  None of the planners of this activity have any financial relationships with commercial interests.  Please check: I have submitted my financial disclosure to Natividad:

Learning | Answer these questions after developing your presentation
What did you actually learn from creating this presentation?  

Question Title

* 3. What did you actually learn from creating this presentation?  

What will you do differently now in your practice as a result of this activity?

(e.g., more reading on the topic, new research, additional collaborations, apply learning into practice, etc.)

Please be specific!

Question Title

* 4. What will you do differently now in your practice as a result of this activity?

(e.g., more reading on the topic, new research, additional collaborations, apply learning into practice, etc.)

Please be specific!

Other comments on this activity?

Question Title

* 5. Other comments on this activity?

Upon submitting this form, you will be claiming AMA PRA Category 1 Credit™ for participating in the Natividad Medical Center's 2018 Poster Symposium.  Please complete this no later than April 16, 2018.
Thank you.  If you  have any questions, please contact the CME Office at CME@natividad.com

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