CME Exam and Evaluation
(1 CME credit)

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To receive CME credits, please read the CME article in this issue of the ERJ,
complete the requested information and indicate the correct responses to the educational questions below.

Please complete all sections on this form, select 'send' and it will automatically be submitted to the ERS.
We will confirm via email once your evaluation has been received.

Certificates will be sent by e-mail only to the e-mail address specified below. Please allow 4 weeks for processing.
Please note that fields marked with an * are compulsory.

1. Applicant personal details.

ERS Membership No. (if known):
Date of Birth (DD/MM/YYYY):
* Family Name:
* First Name:
Mailing Address: