Friday Medical Conference CME

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CME form

What is your name? *

Please check one:

MD/DO

PA/NP

Pharmacist

Mental Health Provider

Resident

Student

Other:

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What is the date of attendance? *

YYYY

After attending this presentation:

I intend to make changes in my practice

I am considering making changes in my practice

I plan to pursue more education on this topic

I do not need to make changes in my practice because this article confirms what I am currently doing in my practice

I do not plan to make changes to my practice.

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Was this presentation free from commercial bias or other conflicts of interest?

Yes

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You participated in ______ credits of this CME activity (up to 1.0 credit) *

What email address would you like for certificate delivery? *

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