EACCME®
Participants Evaluation Form

You are required to submit the form in order to obtain a CME certificate. Your e-mail address at the end of the form will not be passed on to the EACCME® and will solely be used to identify your submission.

Please fill in the form as completely as possible.

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UNION EUROPÉENNE DES MÉDECINS SPÉCIALISTES EUROPEAN UNION OF MEDICAL SPECIALISTS

Association internationale sans but lucratif   International non-profit organisation

Rue de l’Industrie, 24
BE- 1040 Brussels
www.uems.eu

T  +32 2 649 51 64
F  +32 2 640 37 30
info@uems.eu