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    Continuing Medical Education Evaluation & Credit Claims
  • Date of activity
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  • Do you want to evaluate and claim credit for another activity?
  • Date of activity
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    2 digit month, 2 digit day, 4 digit year
  • Do you want to evaluate and claim credit for another activity?
  • Date of activity
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    2 digit month, 2 digit day, 4 digit year
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  • What barriers to implementing changes do you experience in your practice? Check all that apply.

  • Did you detect any ACCME defined commercial interest bias in this activity?*
  • Please indicate your level of agreement with the following statements:*
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  • Physicians

    MD/DO

  • Non-Physician

    Certificate of Completion
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