1504. Long Covid: Beyond SOB and Long Enough! - Verification of Attendance & Evaluation

Please complete this form, including certification, course posttest and all evaluation questions to receive your Certificate of Continuing Competency for this course.

Thank you.
1504. Long Covid: Beyond SOB & Long Enough! - Verification of Attendance & Evaluations

Presented by Alexander D. Truong, M.D., M.P.H. and Katelyn Whitlock, PT, DPT, MSEd, CCS
Fill Course Name*
Fill Presenter*
Original Presentation Date*
Fill # Hours*
Today's Date*

MonthDayYear
Date
Name - as you would like it to appear on your certificate*

First NameMiddle Init.Last NameProfessional Credentials
Email Address*

Confirmation Emailexample@example.com
Location*
City, State
Place of Employment*
Phone Number*

Area CodePhone Number

Certification
I certify that I have accessed the live or recorded course named above.*

YesNo
I certify that I will not share the registration or presentation links with anyone in order to maintain the integrity of this series.*

YesNo

1504. Long Covid: Beyond SOB & Long Enough! - Verification of Attendance & Evaluations