Office of Continuing Medical Education
School Of Medicine
University of California San Francisco
ACCME Provider Number: 0000302
San Francisco, California
(415) 476-5808
www.cme.ucsf.edu
Dear Registrant:
Please complete and return the Attendance Verification form below, documenting the number
of credits earned at this CME activity. Please return this form and your evaluation forms to the
registration staff. You will either receive your certificate immediately or by mail in a couple of
weeks. As always, thank you for your participation in this UCSF CME activity. Never hesitate
to let us know how we can help you to improve your practice in patient care.
Attendance Verification Record
MMJ14016
Course Title: The Eighth National Clinical Conference on Cannabis Therapeutics
Course Dates: May 8 – 10, 2014
Name: ________________________________________________________________
(Please print legibly, and include your city and state.)
City/ State
Please indicate the number of credits earned in this CME educational activity: ________
(Maximum 12.75 AMA PRA Category 1 Credits TM)
Signature: ____________________________________ Date: _____________________
Return this form to ML Mathre with Patients Out of Time in order to claim your certificate of credit.
Email forms to ml@medicalcannabis.com.
Thank You.