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Contact Us:
(706) 721-3967
(800) 221-6437
Fax: (706) 721-4642
fgriffeth@mail.mcg.edu

 



Continuing Education Forms
for CME Activities

The Continuing Education activity forms are available online
 in PDF or Word format.
If you do not have Adobe Reader, click here to download a copy.
 

Activity Planning Worksheet
                             
Disclosure and Content Validation Form
     
Policy on Disclosure
      
Policy on Content Validation
     
Peer Reviewer Form
     
Course Director/Planner Attestation Form
    
Presenter Attestation Form
    
HIPAA Compliance
    
Objectives Worksheet
     
Activity Director Verification Form (for RSS Only)
     
Commercial Support Letter of Agreement
     
Professional Service Agreement
     
W9 Form
     

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.
 


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Medical College of Georgia
All rights reserved.

Continuing Education Homepage |  Medical College of Georgia

Please email comments, suggestions or questions to
Caro Cassels, ccassels@mcg.edu

March 17, 2009