Chart Rounds Verification Form*
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*Form to be filled out and uploaded into your efolio to document up to 3 CE credits (1 credit per
form) for attending chart rounds at your site. You do NOT have to fill out this form for every
chart rounds you attend; only do so if you plan to use a chart rounds meeting towards the 12 CE
credits you must obtain througout your 9 months of clinical training.
264Chart Rounds Verification Form*
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Student Signature: _C
*Form to be filled out and uploaded into your efolio to document up to 3 CE credits (1 credit per
form) for attending chart rounds at your site. You do NOT have to fill out this form for every
chart rounds you attend; only do so if you plan to use a chart rounds meeting towards the 12 CEChart Rounds Verification Form*
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Student Signature:
*Form to be filled out and uploaded into your efolio to document up to 3 CE credits (1 credit per
form) for attending chart rounds at your site. You do NOT have to fill out this form for every
chart rounds you attend; only do so if you plan to use a chart rounds meeting towards the 12 CE
credits you must obtain througout your 9 months of clinical training.Chart Rounds Verification Form*
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Form to be filled out and uploaded into your efolio to document up to 3 CE credits (1 credit per
form) for attending chart rounds at your site. You do NOT have to fill out this form for every
chart rounds you attend; only do so if you plan to use a chart rounds meeting towards the 12 CE
credits you must obtain througout your 9 months of clinical training,Chart Rounds Verification Form*
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Student Signature:
*Form to be filled out and uploaded into your efolio to document up to 3 CE credits (I credit per
form) for attending chart rounds at your site. You do NOT have to fill out this form for every
chart rounds you attend; only do so if you plan to use a chart rounds meeting towards the 12 CE.
credits you must obtain througout your 9 months of clinical training.
264Chart Rounds Verification Form*
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Student Signature: 4,
*Form to be filled out and uploaded into your efolio to document up to 3 CE credits (1 credit per
form) for attending chart rounds at your site. You do NOT have to fill out this form for every
chart rounds you attend; only do so if you plan to use a chart rounds meeting towards the 12 CE
credits you must obtain througout your 9 months of clinical training.