CME Application Form For ANACP 2025 10th Annual Conference Oct 19, 2025 Please fill out the questionnaire to obtain the CME credit certificate. ANACP 2025 Annual Conference CME - Oct 17-18, 2025 Please complete the questions before you apply CME certificate. 2025 ANACP 10th ANNUAL CONFERENCE Eisemann Center, October 17-18, 2025 Eisemann Center, 2351 Performance Dr, Richardson, TX 75082 Please fill out your NAME and TITLE (Such as John Smith, MD) that you would like it to appear on the CME certificate and Email address you want it to be sent. Credit Claim (hours)-Dallas6.56.05.55.04.54.03.53.02.52.01.51.00.5Attestation & Credits ClaimedI attest that I attended the ANACP CME lecture(s). 1 / 5 As a result of participating in this educational activity, how confident are you that there will be an improvement in your ability to apply current best practices and guidelines? Please select a rating from 1 (Not at all confident) to 5 (Highly confident). 1. Not at all confident 2. 3. 4. 5. Highly confident 2 / 5 Did you perceive any bias toward a "commercial interest" in this activity? (An “ineligible company,” also known as a "commercial interest," is defined as any entity producing, marketing, selling, re-selling or distributing health care goods or services consumed by, or used on, patients. Among the exemptions to this definition are government organizations, non-health care related companies and non-profit organizations that do not advocate for commercial interests.) Yes No 3 / 5 In above question, if YES, please explain: Check 4 / 5 What barriers do you face in implementing what you learned at the activity? Check 5 / 5 As a result of this educational activity, please list 1-2 specific changes you plan to make in your clinical practice. Check Restart quiz Exit Post Views: 145