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Osteoporosis CPD Program Request

I confirm I have identified an educational learning need for this topic and would like to propose a CME session.

Untitled checkboxes field

I confirm

Your Name

Email

Phone Number

Session Type

Session Date

Time of Session

Session Format

If virtual or hybrid, please knowledge that you are aware that you must use the CPDN ZOOM virtual meeting link. Sponsors are not permitted to use their own links.

Yes, I am aware

Please acknowledge that you are aware that CPDN is NOT responsible for setting up or attending virtual/in-person logistics.

Virtual Host Email (this is the person who will manage the virtual meeting)

Meal Time *Required for live events

Speaker Name

Speaker Email

Speaker Honoraria (CPDN will provide contract)

If other, please request:

Are any travel arrangements required for the speaker?*Note, CPDN must book and approve all required travel.

If travel is required, please provide brief description of requirements.

Does this session include a moderator?

Moderator Name

Moderator Email

Moderator Honoraria

If other, please request:

Will meals be served

Venue/Catering Company Name

Venue Province

Estimated number of participants

Approximate meal cost per person

How will evaluation forms be managed for this session?

Please upload a copy of the program invitation to finalize your request. Please note, your request cannot be approved without providing this.

Please confirm that you are aware of and have adhered to the following guidelines for this event, and that all involved parties have been informed.

I understand that sponsors are allowed to support logistics but may not exchange in meeting moderation or any content related discussions.

I understand that only approved program materials can be used and no changes can be made even at the request of the speaker (slides, invite, evaluation, etc.).

I understand that post-program materials ( sign-in sheet, evaluation, participant certificate list and catering receipts) must be uploaded to CPDN 5 days post-event.

I understand that CPDN will issue participant certificates for both virtual and live events. Please provide names and emails when submitting post-program materials. This is a requirement by the CFPC.

I understand that for live programs 1-2 sponsor representatives may attend but they may not use their computer to present, wear sponsor name tags and must avoid corporate branded clothing.

I understand that for virtual programs 1-2 sponsors may attend. They must identify themselves via online name as "sponsor" and may not engage in content discussions.

I acknowledge that failure to comply with the above requirements could jeopardize the accreditation status of this program.

Next Steps: CPDN will review the information and once approved, will provide the unique session ID for reference. Please allow up to 2-4 business days to process. If you require additional information, please contact [email protected].