Planners: Forms/Applications

KHN CME will be assessing CME fees to all events that will be utilizing the AMA PRA Cat 1^™ starting January 2020.

Please see fee chart below for AMA PRA Cat 1^™.

If you have any questions or concerns, please contact the KHN CME office at (937) 395-8359 or at

2024 CME Annual Fee Schedule:
Regular Scheduled Series 1-12 hours = $200
Regular Scheduled Series 13-24 hours = $375
Regular Scheduled Series 25-48 hours = $500
Regular Scheduled Series 48+ hours = $750
Special one time events = $500

If you are interested in utilizing AOA CME, please click here.

• Activity Application/Planning Document
• Planning Process for a CME Event
• Suggested Action Verbs to use when creating topic objectives
• Steps in Planning CME Events

If an application is approved there will be a KHN CME Certification Fee required by planners/department of the event. Fee is determined by KHN CME depending upon several factors. Notification will be made upon approval.

• Grand Rounds
• Emergency Department
• Perinatal & Neonatal Collaborative Rounds
• Trauma (Peer Review)
• WSU EM Trauma Series
• Other Series Not Listed

• Steps in Planning CME Events
• Initial Letter (send to the presenter(s))
• KHN Exhibitor Agreement
• Financial Relationships (COI) Form
• CME Event Review by Planner
• CME Disclosure Sign (display at event)
• CME Registration Instructions (display at event)
• Generic Sign-In Sheets   MS Word   |    MS Excel
• Speaker/Presenter Form
• Liaison Event Checklist

• CME Relicensure Information for the State of Ohio

---

Contacts:  Email Us