Request a CME Activity Form

Please enter one contact email for the physician that will lead the planning committee

Please enter one contact email for administrative coordinator that will provide key session dates

RSS- Regularly scheduled series, such as Grand Rounds, Journal Club, M&M


Course- Annual conference


Enduring- On demand activity that does not have a specific time or location

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Has this activity been approved in the past?

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Please describe this activity. What are the learning objectives/QI initiatives that this activity will address?

For new activities: you may submit a file describing the activity goals For renewals: you may submit an activity form for review

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