CME Provider Application

CME Approval Fees Policy
Updated and Approved at the Board of Directors
Effective Date: January 1, 2016

The Aznma CME Approval Fee is:

  • $175 filing fee
  • $35 for each CME Credit Hour
  • All fees must accompany documentation
  • No Refunds will be given
  • No CME's will be approved in arrears
  • This disclaimer, must be added to your CME form that is provided to the attendees
    • Disclaimer: The speaker/company hereby agrees to protect, indemnify, defend and save the AzNMA, its officers, its employees, and agents harmless from and against any and all claims, demands, actions, damages, loss cost liabilities, expenses and judgments arising out of, or occurring in connection with, any act, omission, negligence, or misconduct on my part of attributable to the speaker. This includes, but is not limited to, misuse of copyrighted material, or any injury or damage that may arise from, or out of, the speaker’s participation at an educational event not sponsored and/or hosted by AzNMA, where AzNMA has approved the CME’s.

Application for Continuing Medical Education Approval

Please complete all spaces on this form. Attach program documentation for verification, and return to the Association's office 8 weeks in advance of the class being offered, this will allow time for advertising.
Please email descriptive materials to [email protected] including:

  1.  Specific dates, times, location of course
  2. a tentative schedule of topics and presentations
  3. a brief course description for each presentation
  4. course objectives for each presentation
  5. relevance to medical practice for each presentation
  6. a course flyer, if available
  7. CV and brief bio for each speaker

Disclaimer: The speaker/company hereby agrees to protect, indemnify, defend and save the AzNMA, its officers, its employees, and agents harmless from and against any and all claims, demands, actions, damages, loss cost liabilities, expenses and judgments arising out of, or occurring in connection with, any act, omission, negligence, or misconduct on my part of attributable to the speaker. This includes, but is not limited to, misuse of copyrighted material, or any injury or damage that may arise from, or out of, the speaker’s participation at an educational event not sponsored and/or hosted by AzNMA, where AzNMA has approved the CME’s.