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  • Home /
  • Continuing Education for Professionals /
  • Planning and Services /
  • CME Accreditation /
  • Planning a Regularly Scheduled Series

RSS Forms and Procedures

RSS process and credit application forms

  • Accreditation Portal: This is an electronic form. If this is your first time applying for CME credit for a Regularly Scheduled Series, please email Wendy Murphy at wendy.m.murphy@hitchcock.org prior to starting the application.
  • Responsibilities of Individuals Involved (DOCX)
  • How to Write a Learning Outcome Statement (DOCX)
  • Eligibility of a Course Director (DOC)

ACCME references

  • ACCME Standards for Commercial Support

RSS sample forms

For all RSS programs

  • Accreditation and Credit Designation Statement (DOCX)
  • Financial Disclosure and Agreement Form (DOCX)
  • Financial Disclosure and Agreement Form (PDF)
  • Financial Disclosure Mitigation Form (DOCX)
  • Financial Disclosure Mitigation Form (PDF)
  • Financial Disclosure Attestation Form (PDF)
  • Sample RSS flyer, email, or announcement (DOCX)
  • RSS Cover Sheet (without conflict of interest) (DOCX)
  • RSS Cover Sheet (with conflict of interest) (DOCX)
  • Attendance Attestation Form
  • Webcast Release Form (PDF)

For traditional RSS programs

Traditional programs are those that have a different speaker each week.

  • Attestation Form for Traditional RSS to document disclosure (PDF)

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