CME Claim Form

2024 AHNS Annual Meeting at COSM CME CLAIM

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URL

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The American Head and Neck Society (AHNS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide Continuing Medical Education for physicians.

Your Name*

As you wish it to appear on your certificate.

Prefix First Middle Last Suffix

Email*

Address*

City State / Province / Region

Are you a physician? (MD/DO)*

Yes

Birth Month and Day*

Example: 05/27

Total Hours of Attendance Claimed:*

Please enter a number from 0.25 to 13.25.

The American Head and Neck Society (AHNS) designated this live activity for a maximum of 13.25 AMA PRA 1 Credit(s)TM. Physicians should claim only the credit they commensurate with the extent of their participation in the activity.

ABS CONTINUOUS CERTIFICATION PROGRAM

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is AHNS’ responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

ABOHNS Part II Self-assessment

These credits are only available for those who are Board certified in the United States. If you qualify please check the below checkbox. If not, you may submit to complete your claim.

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ABOHNS Part II Self-assessment

I qualify to claim ABOHNS part II self-assessment credits

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Date*

Certification*

Please select the appropriate option.

I am not board certified in either ABOHNS or ABS.

I qualify to claim ABOHNS part II self-assessment credits

I qualify to claim ABS part II self-assessment credits

ABO Number*

Don’t know your number? Visit https://www.abohns.org/verify-certification/

By submitting this form, I understand that AHNS will submit my credits to the ACCME through the PARS system for direct upload to the ABOHNS or ABS.

2024 AHNS Annual Meeting at COSM CME CLAIM

ABS CONTINUOUS CERTIFICATION PROGRAM

ABOHNS Part II Self-assessment

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