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Case Western Reserve University
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School of Medicine
Continuing Medical Education
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      • Controlled Substance Prescribing
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    • Request Transcripts
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Forms

Below you will find forms most frequently requested by faculty and staff working on CME activities. If you are unable to access these forms, please email medcme@case.edu or call 216.983.1239.

Conferences and Enduring Materials Forms
Accreditation Statement
Attendee Registration Template
Commercial Support Agreement
Commercial Support Tracker Form
Credit Claim Form
Disclosure of Relevant Financial Relationships Form
Evaluation Form
Evaluation Tabulation Template
Exhibitor Booth Agreement Form
Honorarium Form
Honorarium Travel Expense Tracking Form
‌Income Expense Projection
Learning from Teaching CME Claim Form
Online Evaluation & Credit Claim Information & Verbiage
Planning Committee Resolution of Conflict Form
Resolution of Conflict of Interest Form
Sample Syllabus Intro Pages
Supplementary Registration Form

 

Regularly Scheduled Series Forms
Accreditation Statement
Attendee Registration Template
Budget Template
Commercial Support Agreement
Commercial Support Tracker Form
CWRU Marketing Flyer Template/Session Cover Sheet
Disclosure of Relevant Financial Relationships Form
Exhibitor Booth Agreement Form
Planning Committee Resolution of Conflict Form
Rainbow Marketing Flyer Template
Resolution of Conflict of Interest Form
RSS Session Checklist
Session Evaluation Sample
Sponsorship Agreement Checklist
Supplementary Registration Checklist
UH Marketing Flyer Template/Session Cover Sheet
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10900 Euclid Ave. Cleveland, Ohio 44106

216.368.2000
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Continuing Medical Education
Campus Location:

W.O. Walker Building, 3rd Floor
10524 Euclid Avenue
Cleveland, OH 44106

Mailing Address:

10900 Euclid Ave.
Cleveland, OH 44106-6026

Phone: 216.983.1239

Email: medcme@case.edu

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