Virtual Activity CME/Attendance Claim Form 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. Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Email* Are you a physician? (MD/DO)* Yes No Total Hours of Attendance Claimed:*Please enter a number from 0.25 to 1.0.The AHNS designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Please reference the agenda to calculate the number of hours attended. *NOTE: 15 MINUTES OF SESSION ATTENDANCE = 0.25 AMA PRA CATEGORY 1 CREDITS™ Δ Share:FacebookTwitterLinkedIn