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The following forms are for the review and completion of all PER faculty members. These forms are necessary to ensure proper logistical arrangements (ie, hotel form and AV form) and to meet the necessary CME guidelines (ie, speaker disclosure). Please complete the relevant forms and return via fax to (214) 367-3305. Please contact our offices with additional questions at (888) 949-0045.

AV and Syllabus Request (Word® document)

Disclosure of Commercial Affiliations (Adobe Acrobat®)

Speaker Information Sheet (Word® document)

W-9 Form (Adobe Acrobat® - Click here if you don't have Adobe Acrobat Reader)


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Physicians’ Education Resource is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Disclosure Policy
It is the policy of Physicians’ Education Resource to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities.
Privacy Policy
Physicians’ Education Resource (PER) makes reasonable efforts to ensure that privacy issues are handled responsibly.  PER does not sell or share your information with other organizations that are not directly involved in this process.  If you have further concerns, you may contact us at (888) 949-0045.

 


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