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.
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™

American Head & Neck Society | AHNS