Request for CME Certificate

If you attended a past course accredited by Promedica International CME and need to request a certificate, please complete and submit the following form.

Fields marked with an * are required.

CME Certificate Request

First Name *

Last Name *

Email *

Course Evaluation

Please check the box if you completed the online evaluation for the program you attended.

Program You Attended
Please provide information about the program you attended and need a certificate for below. Your attendance will be verified and we will be in touch with further information. If you did not complete the course evaluation, you may be asked to do so before a certificate can be sent out.

Program You Attended *

Enter the Year You Attended *

Comments

If you have any comments or questions, please enter them below.

Please verify that you have checked the “I'm not a robot” checkbox.