UNM Campus
Continuing Medical Education

MSC 09 5370
1 University of New Mexico
Albuquerque, NM 87131

Phone: 505-272-3942
Fax: 505-272-8604

Continuing Medical Education

Planner Disclosure Form

Each program planner must complete a Faculty Disclosure Form prior to the activity.  If planners do not complete a disclosure statement prior to the activity, the activity will not be certified for CME credit.  For a copy of the Planner Disclosure Form, click here

You must give the disclosure information to the audience in writing, whether the faculty has a financial relationship or not.   This can be done in your program announcement, evaluation form, or in a written disclosure statement given to the participants at the activity.