Continuing Education Forms to Download

Disclosure Form

MD's & PhD's

Evaluation Form

MD's only

Complete One Month Before Meeting

Click on the PDF icon above to download the CAPS Disclosure form.

Checklist for completing the disclosure

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1. Clearly write your name where indicated

2. Include your group number on the form

3. You must sign this form by hand. Electronic signatures are not acceptable.

4. Submit your disclosure form to our Administrator:

• E-mail:

• Fax: 617-209-7890

• Post: P.O. Box 3862 Nashua, NH 0306

Please note that any Disclosure Form returned without a legibly written name will be DISCARDED.

This form is due 1 month prior to each and every meeting weekend. No late disclosures can be accepted. Without this form we are unable to award CE credits. This is not a CAPS rule but a requirement of our sponsor. Please contact Michelle Ladew with any questions:

MD's Complete After Meetings

Click on the PDF icon above to download the CAPS Meeting Evaluation form.

Checklist for completing the evaluationf

(M.D.’s only)

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1. The 4 questions at the top of the Evaluation Form MUST be completed.

2. All 20 questions evaluating your meeting weekend MUST be completed.

3. Submit your evaluation form to our Administrator:

• E-mail:

• Fax: 617-209-7890

• Post: P.O. Box 3862 Nashua, NH 0306

Please note that any Evaluation Form returned without a legibly written name will be DISCARDED.

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Please expect 2-4 weeks for your certificate if sent via e-mail or fax.

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Please expect 6-8 weeks for your certificate if sent via snail

mail.