EyeCare Associates of East Texas Fall Seminar – September 16, 2020
ATTENDANCE SHEET & EVALUATION FORM
Name *
License # *
Address *
City/State/Zip *
Phone *
E-Mail *
Total Hours Received (Possible Hours - 2 General & 2 D/T) *
James Chapman, OD, MS, FAAO [Healthcare Compliance: Do You Know Your Professional Responsibilities?] *
5 = Excellent 1 = Poor
5
4
3
2
1
Presentation
Content
Austin Lash, MD [Living with KERATOCONUS? Cornea Crosslinking is HERE!] *
5 = Excellent 1 = Poor
5
4
3
2
1
Presentation
Content
Suggestions / Future Topics
Submit
Never submit passwords through Google Forms.
This form was created inside of GroupM7 Design. Report Abuse