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.