2022-2023 North Kansas City Hospital Continuing Medical Education Evaluation & Credit Claim

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Continuing Medical Education Evaluation & Credit Claim
Which activity did you attend? *
Date of activity *

Month Day Year
Date
Do you want to evaluate and claim credit for another activity?

Yes No
Which activity did you attend?
Date of activity

Month Day Year
Date
Do you want to evaluate and claim credit for another activity?

Yes No
Which activity did you attend?
Date of activity

Month Day Year
Date

Physicians

MD/DO
Number of Continuing Medical Education credits you are claiming: *
Name *

First Name Last Name
Credentials (as you want it to appear on your certificate) *
Email address for CME tracking *
example@example.com

Non-Physician

Certificate of Completion
Name *

First Name Last Name
Credentials as you would like them to appear on your certificate:
Email *
example@example.com

Please allow 7 - 10 business days for processing your certificate.

Questions:

INMED CME Team

816-444-6400

cme@inmedce.com
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