2023 AA CME Attendance Verification Form

2023 Academic Assembly Attendance Verification Form
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Emergency Physicians and Council of Residency Directors in Emergency Medicine. The American College of Emergency Physicians is accredited by the ACCME to provide continuing medical education for physicians.

The American College of Emergency Physicians designates this Live activity for a maximum of 12.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Full Name *

First NameLast NameDegree
Email*
example@example.com
The following is mandatory for CME credit:
Medical License Number (Non-Physicians enter last 4 of Social Security Number)*
Please indicate the number of hours you spent engaged in this educational activity: (up to maximum credit of 12.75) *
By Signing below you attest that the information submitted on this form is accurate and true.

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2023 Academic Assembly Attendance Verification Form