Important Instructions

This evaluation can only be completed once.  Use this form to track the sessions listed below that you have completed and click the Save Draft button at the bottom of the page to save your activity progress.  Once you have finished, click Submit.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 
1 Start 2 Overall 3 Evaluation Transcript 4 Complete
This evaluation is available to complete until October 31, 2018
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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.75 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.50 Credits)

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Credits Claimed: (Maximum: 0.25 Credits)