2022 APGO Virtual FDS CME Attendance Verification Form

Form is not to be submitted until you have viewed all sessions, either live or on demand. Deadline to submit for CME Credit is April 29, 2022.

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

  • Credit Claim:

  • (Maximum 4 hours)
  • (Maximum 4 hours)
  • (Maximum 3 hours)
  • (Maximum 3 hours)
  • 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.