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Name of Program:
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| Type of Program: |
Medical (CME Approved for Physicians, etc)
Pharmacy (Approved for Pharmacists & Pharmacy
Technicians)
Nursing (Approvd for Nursing Professionals)
Dental (Approved for Dentists & Dental Hygienists)
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| Description
Enter a brief description of the program. |
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| Live or Online? |
Live - Attendees must be present
On-Line - Attendees participate on the internet
Live & Online - (May be performed interactively
on-line for LIVE credits)
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| Expiration Date:
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| Specialty / Area of Interest of Program
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NOTE: To
choose multiple selections, hold the control key while
making selections. |
| Contact Hours:
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| Presenter: |
(optional) |
| Sponsor
/ Supporter / Grant Provider of Program, if
any.
(Pharmacy Company, government, ect.) |
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| Provider of Program,
if any.
(university, association, publication, website, etc)
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| Is the Program
Free? |
Cost (if any) $
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| Website/ Web Page URL of
Program, if any.
Example: http://www.rxinsider.com |
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| COMPLETE THE FOLLOWING
FOR LIVE CEs ONLY: |
| Date of CE: |
Note: Please
use the calendar Icon to choose a start and end date
for the live CE. |
| City: |
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| State: |
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| Country: |
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| Zip Code: |
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Is this a Vacation
CE/Seminar?
(Cruises, Resorts, etc.) |
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