Please review carefully all flyers and brochure for the correct statement. Words in italics must stay in italic!

Accreditation Statement
The State University of NY (SUNY) Downstate Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians

Designation statement
The State University of NY (SUNY) Downstate Medical Center designates this educational activity for a maximum of [number of credits] AMA PRA Category 1 Credits(s) TM Physicians should only claim credit commensurate with the extent of their participation in the activity.

If the words cannot be in italics due to software issues, the credit phrase "AMA PRA Category 1 Credit TM" must be either in quotation marks or bold. Note the trademark "TM" which must also be present in superscript.

Applications & Guidelines

MS WORD

PDF FORMAT

You can fill out your CME Credit Request form online here or
DOWNLOAD CME Certification Request Form and other Forms below.

The forms below can be open in MS Word or Word Perfect. You will be able to fill it out on your word processor. You may fax the forms e-mail or use regular mail to send them to the OCME.

The forms below requires Acrobat Reader to download and read. If you do not have Acrobat Reader click here

CME Application

Application Guide

RSS Policy & Procedure

Conference Policy & Procedure

RSS Evaluation Form

Conference Evaluation Form

RSS Budget Form

Conference Budget Form

Final Conference Budget Form

Speaker Letter

Speaker's Disclosure Form

Commercial Support Form

Speaker Payment Form

Outcome Summary

Accreditation & policy statements

Commercial Support policy

*RSS= Regularly Scheduled Series such as grand rounds, tumor boards, journal clubs.

CME Application

RSS Policy & Procedure

Conference Policy & Procedure

RSS Evaluation Form

Conference Evaluation Form

RSS Budget Form

Conference Budget Form

Final Conference Budget Form

Speaker Letter

Speaker's Disclosure Form

Commercial Support Form

Speaker Payment Form

Outcome Summary

Activity Worksheet

CME Credit Request (transcript/certficate)

Accreditation & policy statements

Commercial Support Policy

Please pay careful attention to all forms. They must be appropriately completed and signed. The information and documentation requested is necessary for maintenance of CME records that meet the Essential Areas and Policies of the ACCME. Certification of your activity for Category 1 CME credit is contingent upon receipt of all the requested forms, information and documentation.

Please call the Office of CME if you need help completing any of these forms.