Continuing Education Forms

Activity Planning Worksheet, Conferences

Activity Planning Worksheet, Enduring Materials

Activity Planning Worksheet, Joint Sponsorship

Activity Planning Worksheet, Regularly Scheduled Conferences (RSC) or Grand Rounds

Attestation Form: Course Director/Planner - Dentistry

Attestation Form: Course Director/Planner - Medicine

Attestation Form: Presenter - Dentistry

Attestation Form: Presenter - Medicine

Course Director/Planner Disclosure

Presenter Disclosure

HIPAA Presenter Compliance Form

Letter of Agreement

Activity Director Form (Grand Rounds or RSC)

Objectives Worksheet

Peer Review  Checklist - Planning Committee

Peer Review Checklist - Presenters

Registration and Evaluation Form (Grand Rounds or RSC)

Print a copy of the form, complete and sign it, and return it to the Division of Continuing Education by mail or fax:

Division of Continuing Education
Medical College of Georgia
Augusta, Georgia 30912

Fax: 706-721-4642

You may return a completed Word copy as an e-mail attachment:
normar@mail.mcg.edu

Questions?
Call the CE office at 706-721-3967.