Planners: Forms/Applications
KH 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 KH CME office at (937) 395-8359 or at
| 2025 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 |
New Activity Applications
Application must be submitted at least 60 days prior to the event.
- Activity Application/Planning Document
- Planning Process for a CME Event (opens in new tab)
- Suggested Action Verbs to use when creating topic objectives (opens in new tab)
- Steps in Planning CME Events
Regularly Scheduled Series (RSS) Session Applications
- Grand Rounds
- Emergency Department
- Perinatal & Neonatal Collaborative Rounds
- Trauma (Peer Review)
- WSU EM Trauma Series
- Other Series Not Listed
Planning Packet
- Steps in Planning CME Events
- Initial Letter (send to the presenter(s)) (opens in new tab)
- KH Exhibitor Agreement (opens in new tab)
- Financial Relationships (COI) Form
- CME Event Review by Planner (opens in new tab)
- CME Disclosure Sign (display at event) (opens in new tab)
- CME Registration Instructions (display at event) (opens in new tab)
- Generic Sign-In Sheets MS Word (opens in new tab) | MS Excel (opens in new tab)
- Speaker/Presenter Form (opens in new tab)
- Liaison Event Checklist
Miscellaneous Information
Contacts: Email Us
Kim Kremer, MS
CME Coordinator
O: 937-232-2476
F: 937-522-8930
Martin Jacobs, MD
CME Chair
937-395-8611