Department of Continuing Medical Education
SPEAKER CONFIRMATION FORM
Please complete the following form as soon as possible so that we may prepare for your speaking arrangement.
Select this option to add a fourth or more objectives. Make sure to number any additional objectives.
Select the format in which you will conduct your presentation. If you're unsure, please contact the CME Department at firstname.lastname@example.org to confirm.
To make it easier for our users to find relevant sessions, we can use the following categories to make each session easier to find. Please select AT LEAST ONE category below