Request for Information & Consent to report your CME credit for your Board through ACCME

The Accreditation Council for Continuing Medical Education (ACCME) has collaborated with the Boards noted below for CME providers to report your Diplomate CME credits through the Accreditation Council for Continuing Medical Education PARS System.

In order for our office to report your CME credits, please complete the information below at your earliest convenience.
1.First Name
2.Middle Name
3.Last Name
4.Date of Birth (MM/DD)
5.American Board of Surgery (ABS) Diplomate Board Member #
6.American Board of Thoracic Surgery (ABTS) Diplomate Board Member #
7.American Board of Orthopaedic Surgery (ABOS) Diplomate Board Member #
*You may enter N/A as ABOS does not use member numbers
8.Do you give your consent for the UTHSA Office of Continuing Medical Education to share this information with the Accreditation Council for Continuing Medical Education (ACCME) for the purpose of reporting your CME credit?