RTP Podcast CME Request Form

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Remember That Patient Episode Questionnaire & CME Request

Email address *

Name *

Episode *

Who were the two hosts/guests for this episode (First name and spelling mistakes are fine!) *

Roughly how long was this episode in minutes? (use numbers only) *

For case episodes, briefly describe the initial patient presentation as described in the dispatch or patient contact. For half episodes, briefly describe what was discussed for the topic that month. *

What were some things that you learned in this episode and what will you take home to your practice? *

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