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AACR Special Conference in Cancer Research: Acute Lymphoblastic Leukemia in Association with the Hematologic Malignancies Working Group- CME Request for Credit Survey

Thank you for attending the AACR Special Conference in Cancer Research: Acute Lymphoblastic Leukemia in Association with the Hematologic Malignancies Working Group. The AACR is accredited by the ACCME to provide continuing medical education for physicians. The AACR designates this live activity for a maximum of 13.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Request for CME Credit
To receive CME credit you must complete the following Request for Credit Survey. A credit certificate (for physicians) or certificate of attendance (for non-physician attendees) will only be issued to those who complete the survey. Your certificate will be sent by email approximately seven to ten days after the survey is completed.

MOC Points Request
To receive ABIM MOC, participants must request MOC in the CME Request for Credit Survey and complete all questions. Once these steps are completed, AACR will submit your completion information via the ACCME’s Program and Activity Reporting System for the purpose of granting MOC points. Thank you for your patience, as it may take as long as 30 days to process your MOC points request.

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* 1. Contact Information

First Name

Last Name

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* 2. Please enter your AACR ID number (If you don't have one, please leave blank)

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* 3. Address Information

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

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* 4. Please indicate your email address

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* 5. Number of Credits Claimed

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* 6. Select One

Physician

Non Physician

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* 7. If you are a diplomate of the American Board of Internal Medicine (ABIM), and you would like to request MOC points, then please select YES below (n.b. only physicians with an ABIM ID Number may select YES). By selecting YES, you consent to give the AACR permission to share your MOC points request data with the ACCME, who sends it to the ABIM. If you have questions or concerns, please email cme@aacr.org.

Yes