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Tobacco Outreach Education Program

TOEP CME - DVD Form

Individuals may choose to receive a DVD of the Tobacco Cessation Course lectures along with a paper version of the course evaluation. Physicians and healthcare professionals seeking CME credit are required to mail back the paper survey to the University of Texas MD Anderson Cancer Center address provided in the DVD mailing.

Please fill in the following information to receive the Tobacco Cessation Course on DVD. Include the address to where you prefer to have the course materials shipped. Contact information is required to confirm DVD orders.

Request Inputs marked * are required

 

 

 

 

 

 

 

 

 

 

*Requesting Continuing Medical Education (CME) credit