Continuing Medical Education Planning

CME Planning Request

Thank you for your interest in hosting a CME activity with the A. Webb Roberts Center for Continuing Medical Education.

To help us better assist you, please complete the following request form. Once completed, a member of our department will be in touch with you to set a meeting to review your needs in detail.

For successful planning and fulfillment of a CME activity, you should submit this request within the following timelines:

4-5 months prior to activity date for requests to monitor accreditation only
9-12 months prior to activity date for requests to manage logistics and accreditation

Program Director Name*

Phone Number*

Email*

Name of Activity*

Activity Start Date*

Activity End Date*

Request*

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CME Planning Request

Continuing Medical Education Planning