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CME/CE Evaluation
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Release Date: July 1, 2023
Expiration Date: July 1, 2025
Maximum Credit Hours: 1.5
The educational supporter of this program may contact me with additional information.
Title
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Dr.
Professor
Mr.
Mrs.
Ms.
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First Name
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Last Name
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Degree
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Specialty
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Email
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Phone
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Fax
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Address 1
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Address 2
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*
City
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*
State
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Zip Code
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Country
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CreditRequested
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CEU (Laboratory Personnel)
CEU (Nurses)
CEU (Respiratory Therapists)
CME (Physicians)
Attended in Person?
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Date Attended In Person:
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I attest to viewing the program in full and to viewing any supplemental materials in order to claim credits.
I agree.
I do not agree.
Course Evaluation
The material met my educational objectives.
strongly agree
agree
uncertain
disagree
strongly disagree
The education was free of commercial bias.
strongly agree
agree
uncertain
disagree
strongly disagree
The information provided will be useful in my practice.
strongly agree
agree
uncertain
disagree
strongly disagree
Suggestions
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Comments
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