This form will be used to collect content for your presentation.

If there are changes to the details below notify bethany.severson@optumhealtheducation.com. 

Credit offered: 1.00 AMA and ANCC

AttachmentSize
PDF icon Faculty Disclosure Form Template200.43 KB
 
1 Start 2 Complete
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This activity is designed to meet the educational needs of nurse practitioners, PAs and physicians who have an interest in learning about [Add description].
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A minimum of two learning objectives are required per activity. There is no maximum number of LOs, however, there should be enough to be reflective of activity scope and time constraints. At the end of this educational activity, participants should be able to:
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Provide faculty name(s) and title(s).
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Files must be less than 1000 KB.
Allowed file types: gif jpg jpeg png pdf doc.
Files must be less than 1000 KB.
Allowed file types: gif jpg jpeg png pdf ppt pptx.