Planning Forms
To maintain accreditation and to provide the best service possible, we are required to obtain relevant information for each activity that we accredit or coordinate. The following forms ensure that your activity meets the requirements necessary for the ACCME and other accreditation bodies, and also the Mission of the WVU Health Sciences Office of Continuing Education. We are always available to answer your questions regarding these forms, so please do not hesitate to contact us with your questions or concerns.
For instructions on how to access CV and Disclosure Listings, click here.
Electronic Submission Forms:
- Online Planning Form:
- CE Planning Form Part A - General Activity, Contact, Planning Committee, Sponsorship, Funding and Fees Information
- CE Planning Form Part B - Audience, Objectives, Format, and ACCME Criteria
- CE Planning Form Part C - Mission Compliance, Evaluation, and Planning Packet Checklist
- Joint Providership and Non-Coordinated Agreement
Required: CME, Nursing, Dentistry - Desirable Physician Attributes
Required: CME - Practice Gap
Required: CME, Nursing
EXAMPLES: Practice Gap Examples with Supporting Needs Documentation
Download this print-friendly version of the worksheet if you need to consult others to complete this form. - Dental Practice Gap
Required: Dentistry only - Flyer/Brochure Example/Draft Submission
Required: CME
EXAMPLES: Example 1, Example 2, Example 3, Example 4, Example 5 - Disclosure and HIPAA Compliance with CV/Bio Attach Updated 3/15/24
Required: CME, Nursing, Dentistry- For your convenience, the Disclosure Forms Cover Sheet can help when managing many speakers
- Barcode Sign-in Sheet (RSS Only) - for new series
Hard Copy Forms - Submit via e-mail:
- Disclosure of Commercial Interests and HIPAA Compliance Updated 3/15/24
For programs expecting outside commercial funding:
- Commercial Support Letter of Agreement
Required: CME, Dentistry - Commercial Support Letter of Agreement with Third Party
Required: CME, Dentistry - Commercial Support Standards provides helpful information on the ACCME Standards for Commercial Support.