Consequences of Hyperphosphatemia:
Are We Accepting the Unacceptable?

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 55414

or FAX to (612) 626-7766.

Forms must be received by March 31, 2001 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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