CME Conference Activity Form
Questions or concerns? Please contact the CME Office by calling 216-778-5281.
This CME Conference form must first be downloaded, completed and saved as a PDF. You will also be asked to upload the following documents, available on the CME web page:
- Complete Program Schedule (Including: dates, times, topics and speakers.)
- Faculty Disclosure Form (This must be completed by all activity planners, faculty/presenters and staff
  participating in this activity.)
- Sources of information used to identify practice gap If the CME activity will receive commercial support,
- Written Agreement for Commercial Support and Commercial Support and Budget Form

Conflict of Interest/Disclosure Forms from Faculty/Planning Committee
All activity planners, faculty/presenters and staff participating in this activity must sign a Faculty Disclosure form. Forms must be updated every 12 months. Email if you have any questions. CME Credit will not be awarded for this activity until all disclosure forms are received and reviewed.  

Letters of Agreement for Commercial Support

If activity will receive commercial support, please review and complete the Commercial Support and Budget Form and upload below. Letters of Agreement are required for all commercial support. All Letters of Agreement (LOAs) for educational grants must be completed and signed by a MetroHealth CME Specialist (accredited provider) and the commercial supporter (exhibitors exempt) and then returned to Kim Montgomery in the CME Department prior to the start of the activity. Letters can be scanned to expedite approval and signatures.