Winter 2025

CME 1A Reporting Form

Please only fill out ONE attestation for the entire event after attending.

If you have not yet watched all of the sessions that you intend to attend, please wait to submit this form until after you have watched all sessions.

By filling out this form, you are attesting that you have registered for and watched the lectures you select in this form from the 2025 NOMA Winter Symposium.

Verified attestations will receive a certificate via email.

Ensure that your e-mail address matches the e-mail used to register for the event.

First Name *

Last Name *

Title *

Email *

Phone

Optional: I wish to receive updates via phone call and/or texting. This will include future opportunities to earn CME.

Nevada Osteopathic Medical Association

2245 Springdale Court Reno, NV 89523

855-888-NOMA Fax: 775-384-2865

[email protected]

www.nevadaosteopathic.org

Please select "yes" below if you watched ALL lectures in Winter 2025 and purchased a full conference ticket, or were given free tuition as a registered presenter.

Did you watch all of the lectures at the event, excluding the in-person OMT workshop? *

Yes

Note that if you did not register for the entire event, your attestation will be rejected.

Please select the presentation you attended. Select "All" if you attended the entire day.

W25 - Day 1 Presentation ListDay 1 (Wednesday) Presentation List

Day 2 (Thursday) Presentation List

Day 3 (Friday) Presentation List

Day 4 (Saturday) Presentation List

Note that if you select "All" or "None" and a presentation in the same day, your attestation will be rejected.

Signature (final step)

Board Certified/Eligible In *

AOA Number

Printed Name (as you would like it to appear on your certificate) *

By signing electronically below, I certify that the above attestation is true and accurate *

Clear

“Nevada Osteopathic Medical Association is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. The Nevada Osteopathic Medical Association designates this online program for AOA Category 1-A credits and will report CME and specialty credits with the extent of the physician’s participation in this activity.”