Certificate of Participation
Physician
Continuing Medical Education
141 Northwest Point Blvd
Elk Grove Village, IL 60007-1098
800/433-9016 (phone) 847/434-8000 (fax)
The American Academy of Pediatrics certifies that
Name (First/MI/Last/Degree)
has participated in the live activity titled Red Book Webinar: Summary of Major Changes to the
2012 Red Book on June 14, 2012 and is awarded 1.0 AMA PRA Category 1 Credit(s)™.
The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for
Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The AAP designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.
Physicians should claim only the credit commensurate with the extent of their participation in the
activity.
This activity is acceptable for a maximum of 1.0 AAP credits. These credits can be applied toward
the AAP CME/CPD Award available to Fellows and Candidate Members of the AAP.
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Fill in your credits to the right.
Be sure to sign this form when completed as verification of the credits you recorded.
Please keep this copy for your records. The Academy does not require a copy.
Mailing Address: ________________________________________
City/State/Zip/Country: ___________________________________
Total Credits: ____________
(max. 1.0)
Signature: _____________________________________________
Please keep this copy for your CME files.