Get Fl Fma Joint Providership Application

Completing the FL FMA Joint Providership Application is an essential step for organizations seeking to provide continuing medical education. This guide will walk you through each section of the application, ensuring you understand the requirements and how to fill it out correctly online.

Follow the steps to complete your application seamlessly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the applicant organization name in the designated field.
3. Provide the address of the organization accurately.
4. Indicate the anticipated number of CME credits (hours) for the activity.
5. Fill in the activity date(s) and specify the activity location.
6. Enter the title of the activity/presentation clearly.
7. Designate the activity director and their email address. Ensure the director is an FMA member.
8. Include the activity coordinator's name and email for correspondence.
9. Identify the professional practice gap by stating the educational opportunity or differences between current and best practices.
10. Detail the educational need(s) contributing to the professional practice gap, such as knowledge, competence, or performance needs.
11. Describe what the CME activity is designed to change regarding learners’ competence or performance.
12. Select the planned activity formats by checking all that apply.
13. Justify why the chosen educational format is appropriate based on the educational objectives.
14. Check the desirable physician attribute(s) that the activity addresses.
15. Complete the planners/faculty information including roles and financial relationships.
16. Indicate whether you will seek commercial support for the activity by selecting yes, no, or not sure.
17. Submit any required attestations regarding commercial support, if applicable.
18. Determine how you will evaluate the effectiveness of the CME activity, selecting the applicable options.
19. Attach all required documents as outlined in the attachments section.
20. Review your application for completeness and accuracy before submitting.
21. Upon completion, save changes to the form, then download, print, or share it as necessary.

Start filling out your FL FMA Joint Providership Application online today!