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Innovation Day CME Self-Reporting Form Innovation Day CME Self-Reporting Form

CME SELF-ATTENDANCE REPORTING FORM – Live Webcast

Utah Regional Health Care Innovation Day – Wednesday, April 27, 2016

Physicians: To receive Category 1 CME credit, you must complete and return this form to Michele Gentz at mgentz@healthinsight.org AND complete the evaluation form for today’s session. You must provide an email in order to receive a certificate; please print legibly.

PAs, APRNs, Nurses, Others: If you wish to receive a certificate of attendance, you must complete and return this form to Michele Gentz at mgentz@healthinsight.org AND complete the evaluation form for today’s session. You must provide an email in order to receive a certificate; please print legibly.

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Created
04-26-2016
Changed
04-26-2016
 
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