CME Application and Educational Planning Form

Please download the following documents before beginning your application. You will be required to upload the completed forms when submitting the application.  

• Disclosure Statement Form - All individuals who are in a position to control the content of the CME activity must complete this form. This includes planners, reviewers, authors, and presenters. If you have more than FOUR disclosures, please contact our office for a dedicated link at cme@med.unr.edu.
• Activity Agenda Template - You may use your own form. However, it MUST include dates, start and end times, presentation titles and presenter names, degrees, and affiliations.