CME Attendance Log
This form is only for those who intend to receive Continuing Medical Education (CME) credit for participating in the 2019 Seminar in Forensic Toxicology, "Criminal Poisoning & Drug-Facilitated Sexual Assault"

If you do not intend on receiving CME credit, you do not need to fill out this form.

To receive CME credit, fill out the form and certify your attendance by identifying your arrival and departure times for each day. If you do not complete and submit this form, you will not receive CME.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you have questions, contact ACMT Staff at adrienne.dunavin@acmt.net.
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First Name *
Middle Initial
Last Name *
Email *
Select your highest degree: *
Required
Select your degree category *
Monday, 12/9
ARRIVAL *
DEPARTURE
Tuesday, 12/10
ARRIVAL *
DEPARTURE
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