2021 APGO Virtual CDS 301 CME Form

  • Instructions:
    1. Enter ALL information requested in the fields below.
    2. Indicate the total number of credits.
    3. Sign your name and date the CME form.
    4. Click Submit.
  • Participant Information:

  • Credit Claim:

    4/8/21 - 2021 APGO Clerkship Directors’ School 301
  • Total Possible Credits: 4.5

  • I certify that the above information is correct and documents only those credits that I actually spent in the activity.
  • MM slash DD slash YYYY
  • Duplicate certificates will incur a $25.00 fee each. You can send a copy of your Certificate of Attendance to the ACOG CME Department for tracking.