By submitting this form, you are giving permission to the American Academy of Pediatrics to report credits on your behalf to the American Board of Surgery.

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* 1. First Name

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* 2. Last Name

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* 3. Please list the state in which you are licensed.

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* 4. Please enter your state license number.

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* 5. Please enter your birthdate.

After submitting this form, you still need to claim credits for the meeting in the AAP Transcript System, which will be available after the end of the conference. Once CME credit is claimed and it’s reported to ABS, the credit amount can not be changed, so please ensure that you have attended and reviewed all sessions for which you wish to claim credit.

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