CE Attendance Log
This form is only for those who intend to receive Continuing Education (CE) credit for participating in AACT Symposium | DEI in Toxicology: What it Means for Patients and Learners (March 29, 2023). 

If you do not intend on receiving CE credit for your participation in this activity, you do not need to fill out this form.

This live activity has been designated for a maximum of 4.0 Continuing Education credits. Attendees should claim only the credit commensurate with the extent of their participation in the live activity on March 29th in San Diego, CA.

Please list your name and degree info as you would like to appear on your Continuing Education Certificate.

If you do not complete and submit this form, you will not receive CE. If you have questions, contact ACMT Staff at events@acmt.net.
Sign in to Google to save your progress. Learn more
First Name *
Middle Initial
Last Name *
Email *
Which Continuing Education credits would you like to receive? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of The American College of Medical Toxicology. Report Abuse