Physicians CE – March 7, 2018

CE Required Documents – Physician

Important note: A downloadable version and online version are available for all documents EXCEPT the credit claim form) 

  1. Sign In Sheet Physician OR Online Sign In Sheet (select physician)
  2. Participant Profile – March 7 (downloadable)  OR Participant Profile online version
  3. Program Evaluation – March 7 (downloadable) OR Program Evaluation online version
  4.  Physican Certificate and Credit Claim Form (print – keep certificate and submit the credit claim form) 

Disclaimer: RNs and MDs must complete the credit claim form by following the instructions on the form and return to the UAMS CE Office for entry into the database.

In order to receive CE credit, the documents listed above Must be filled out completely, and returned to the facility coordinator, upon check out, on the day of the event.


Online or offsite participants MUST email this form to, or fax this form to 501-603-1966, within 5 business days of the event.  All other required paperwork must also be completed online or emailed/faxed with this CE form to receive credit.  All paperwork must be submitted within 5 working days of the seminar to receive CE Credit.

AGEC Contact Information:

4301 W. Markham St., #798

Little Rock, AR 72205

TEL: 501-603-1969

FAX: 501-603-1966


AMA Designation Statement

The University of Arkansas for Medical Sciences designates this live activity for a maximum of 2.0

AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.