CME Forms (Faculty and Planners)

CME Forms for Faculty/ Speakers: 

• CME Disclosure Form  - Downladable in pdf
• CME Disclosure Form - Submit Online
• AV Recording Waiver 
• Travel Expense Reimbursement Form
• Nicklaus Children's Hospital CME Faculty Handbook

Helpful Tools and Samples:

• Sample Disclosure Slides (All Slides) 
• Sample Disclosure Slides (Prior to Start of Program) 
• Sample Disclosure Slides (For Speaker's Presentation) 
• Writing Learning Objectives
• Sample Pre-Survey
• Sample Post-Survey

CME Forms for Activity Chairs and Planners:

• CME Activity Request Form
• CME Disclosure Form  - Downloadable in PDF
• CME Disclosure Form - Submit Online
• CME Application Form - Downloadable in PDF
• Audiovisual Request Form
• CME Checklist 
• Travel Expense Reimbursement Form 
• PDSA Documentation Form - Activity Improvement Plan

CME Policies and Procedures:

• CME Administrative Fees Policy
• Course Director's Responsibilities
• CME Policy Governing Honoraria and Reimbursement of Expenses for Planners, Teachers, and/or Authors

References and Resources:

• WRITING INSTRUCTIONAL OBJECTIVES
  Kathy V. Waller, PhD, CLS(NCA)
  NAACLS Board of Directors