CME Evaluation Form

AMERICAN COLLEGE OF SURGEONS
Division of Education

Northern California Chapter
American College of Surgeons

2026 Annual Meeting

May 15-17, 2026
San Francisco, CA

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Name (Required.)

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Choose One (Required.)

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Email Address (Required.)

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Are you a member of the American College of Surgeons? (Required.)

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ACS Membership ID (credits will not post to your ACS MyCME webpage if ID not provided)

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Choose One (Required.)

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Birthday

Date

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Number of years in practice (optional)

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State(s) you are licensed (Required.)

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Specialty (optional)

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