Document Name | Who Should Complete the Document | Submit Document | Document Location | Document Format |
Application | Lead Physician | 12 months prior to the start of the activity | Request from the OCPD Office | MS Word |
Recommended/Actual Timeline | CE Coordinator | Start of Pre-planning | EthosCE MS OneNote | MS Word |
Financial Disclosure | CE Coordinator | Start of Pre-planning | EthosCE MS OneNote | EthosCE |
Resolution of Conflict of Interest | CE Coordinator | Start of Pre-planning (when applicable) | EthosCE MS OneNote | EthosCE |
Curriculum Vitae (required when seeking APA, AAPA, AANP) Credit Types | CE Coordinator | Upon notification | Request from Individual(s) | EthosCE |
Promotional Material | CE Coordinator | 2 weeks prior to distribution | Course Planner | Adobe PDF |
Written Letter of Agreement | Lead Physician CE Coordinator OCPD Staff | Upon notification of Grant Approval | Grantor | Internet Explorer Adobe PDF |
Attendance Records | CE Coordinator | Within 60 days of Activity Completion | EthosCE | EthosCE |
Final Budget | CE Coordinator | Within 60 days of Activity Completion | EthosCE MS OneNote | EthosCE |
Evaluation Summary | CE Coordinator | Within 60 days of Activity Completion | EthosCE | EthosCE Adobe PDF |