We are now Georgia Health Sciences University.

Frequently Requested Forms for CME Activities

 

Activity Planning Worksheet - Medical                      

Activity Planning Worksheet - Dentistry 

   

Disclosure and Content Validation Form

     

Policy on Disclosure

    

Policy on Content Validation

   

Peer Reviewer Form - Planner

    

Peer Reviewer Form - Presenter

   

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

       

The Continuing Education activity forms are available online in PDF or Word format.
If you do not have Adobe Reader, click here to download a copy. 
 

 

 

 

 

 

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
Georgia Health Sciences University
Augusta, Georgia 30912

Fax: 706-721-4642

You may return a completed Word copy as an e-mail attachment:

LSCHULTZ@georgiahealth.edu

Questions?
Call the CE office at 706-721-3967.

 

 

Revised: 3/27/13