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
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.