Continuing Education Disclosure Form to Download
MD's & PhD's
Due One Month Before Meeting
Click on the PDF icon to download the CAPS Disclosure Form.
Checklist for Completing Disclosure Forms
Clearly write your name where indicated
Include your group number on the form
You must sign this form by hand. Electronic signatures are not acceptable.
Submit your disclosure form to our Administrator:
Email Scan or Smart Phone Photo: firstname.lastname@example.org
Post: P.O. Box 3862 Nashua, NH 03061
Please note that any Disclosure Form returned without a legibly written name will be DISCARDED.