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LA-ACS Annual Meeting
Evaluation Form
AMERICAN COLLEGE OF SURGEONS
Division of Education
Louisiana Chapter
American College of Surgeons
2022 Annual Meeting
March 18-20, 2022
New Orleans, LA
*
Name
(Required.)
*
Choose One
(Required.)
MD, FACS
MD
DO
Other (please specify)
*
Email Address
(Required.)
*
Are you a member of the American College of Surgeons?
(Required.)
YES
NO
ACS Membership ID
*
Choose One
(Required.)
Active Member
Associate Member
Resident
Medical Student
Research Trainee
Retired
Non-Member
Number of years in practice (optional)
Specialty (optional)
*
Your CME certificate
(Required.)
I would like my CME certificate emailed to me.
I will download my CME certificate from the MyCME page.
