In order to qualify for Continuing Medical Education (CME) credits and Continuing Nursing Education (CNE) credits, the Chapter must provide the accrediting agency with an evaluation of the course and presenters.

For this reason, please answer all of the following questions.

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* Please enter your name.

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* Please enter your e-mail address.

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* Please enter your city and state of the hospital affiliation. If more than one, please submit your main employer.

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