Hyperphosphatemia: Clinical Complications
and Management in 1998
University of Minnesota
CME Internet Course
Enrollment Form
To earn CME credits, print this form using File Print or the Print button on your browser menu, along with the posttest and evaluation forms. Complete these forms (indicating your answers directly on the printed sheet) and mail them to:
University of Minnesota
Office of Continuing Medical Education
615 Washington Ave. SE
Suite 107
Minneapolis, MN 55414or FAX to (612) 626-7766.
Forms must be received by December 30, 1999 to earn credits.
Enrollment (Please Print)
Name_____________________________________________________
Degree____________________________________________________
Social security number_______________________________________
Specialty___________________________________________________
City___________________ State______ ZIP______________________
Year medical degree was received______________________________
Phone number __________________ FAX______________________
Email address _____________________________________________
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