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Joint Providership Information

CME Joint Providership PDF Forms

You may fill these forms out and print them for your records. You should be able to save a copy with your stored data.
To save a copy with your data you must have Adobe Acrobat, not just the freely available Adobe Acrobat Reader.

  1. 2014 CME Application - Updated 8-2014
  2. 2014 Standards for Com. Support (SCS)
  3. Additional CME Planning Information - Updated 6-2016
  4. Additional Speakers (8-2014)
  5. After CME Activity - Updated 8-2014
  6. Attendance Sign-In - Updated -2014
  7. CC Authorization (8-2014)
  8. CD Content & COI Form (8-2014)
  9. COI Disclosure Form - Updated 8-2014
  10. Faculty, Planners, Joint Providership & Commercial Support Policies - Updated 8-2014
  11. Fee Schedule (8-2014)
  12. Intro. to Joint Providership - Updated 8-2014
  13. Letter of Agreement LOA (8-2014)
  14. Meeting Notice Preparation - Updated 8-2014
  15. Meeting Notice Sample - Updated 8-2014
  16. Post-Survey Competence Eval (8-2014)
  17. Pre-Survey Competence Eval (2-2016)
  18. Professional Practice Gap (PPG) Defined 8-2014
  19. Steps for Joint Providership

Please note that the Subcommittee on Joint Providership usually meets the fourth week of every month.  For the exact deadline please contact Haydee Nascimento, Director of Education at (312) 670-2550, ext. 321 or .

Please note that all CME activities should be submitted for approval 75 days prior to the scheduled activity.

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