One Time Activity Accreditation Forms

The following forms may require Acrobat Reader. or Microsoft Word. If you are unable to access those forms, please contact our office at cme@upstate.edu.

This packet describes each of the requirements for obtaining CME credit. It should be read before completing the program planning guide.

This packet will assist you in organizing information required by the Accreditation Council for Continuing Medical Education (ACCME) and help you in planning an educational activity. It must be submitted to the Office of Continuing Medical Education before credit can be granted.

This is a sample course evaluation form that can be modified to fit the needs of your educational activity.

The COI form records relationships with commercial entities and must be completed by all faculty and individual involved in the planning who can control the CME content of a CME activity. All Conflicts of Interest must be resolved before the faculty can proceed in the planning process.

Departments with in SUNY Letter of Agreement: MS Word   PDF
or Non SUNY Departments Letter of Agreement: MS Word   PDF

These forms document the agreement between SUNY CME and the commercial entity financially supporting an educational activity. It must be completed by each commercial entity supporting a CME activity. All other agreements or contracts must be reviewed by the CME office.

Each Participant/Presenting Faculty at a CME activity is asked to complete the Credit Claim Form for record keeping purposes. Only those participant/presenting faculty who complete the Credit Claim Form will be awarded CME credits and receive a certificate of completion.

Participant's demographic information will be entered into this form and electronically submitted to the CME office. Each participant will be forwarded a certificate of completion by the Office of Continuing Medical Education.

Final closing financial summary of the educational activity.