How would you like your name to appear on your certificate?

Profession

How many credit hours did you complete?

Credit Hours (maximum: 0.0)

Agreement

By completing this form, you attest that you have attended the number of hours you have indicated above.

I agree

Manuscript Number:

Manuscript Title:

Reviewer Affiliated Institution/Organization:

Manuscript Rating (please check):

Excellent

Good

Average

Below Average

Unacceptable

Recommendation:

Accept as is

Minor Revision

Major Revision

Reject Allow Resubmission

Reject

Additional Questions Required for CME Provider: ** Please note ALL information is required! Any missing information could result in loss of CME Credit. **

* Select the number of hours spent on this review:

1 hour

2 hours

3 hours

* Did the manuscript content give a balanced view of therapeutic options, including the use of generic names?

Yes

* Do you believe this activity was appropriate for the scope of your professional practice or activities?

Yes

* Was the manuscript content scientifically sound?

Yes

* Was the manuscript content free from commercial bias?

Yes

If you answered "No" to any of the above questions, please explain with as much detail as possible:

* After completing this review, do you believe you have improved your professional competence, profession performance?

Yes

If you answered "No" to the above question, please explain with as much detail as possible:

What patient problems or patient challenges do you feel you are not able to address appropriately or to your satisfaction and would like to see addressed in future education settings? An answer is not required.

* I attest that I evaluated the above referenced manuscript and am requesting CME credit for the number of hours indicated above.

Yes

Directions:

Please enter your name, the date, email address and your affiliated institution. If you would like to receive an ACCME Certificate of Completion, you will be required to read the manuscript, compare the findings with other published literature, document the evidence available in measuring the value of the article in the box provided, score the abstract, complete the evaluation questions and electronically send the completed documentation back to the journal. The maximum number of eligible credits is 3.0 AMA PRA Category Credits™ per review, regardless of how much time is spent reviewing. In one year, 5 reviews for a total of 15 AMA PRA Category Credits™ are eligible for each reviewer applying for AMA Physician’s Recognition Award. All fields are required; incomplete forms will be returned for completion.

* Please note ALL information with an * is required! Any missing information could result in lost of CE Credit. Thank you. Your evaluation link will be emailed to you within 2-4 weeks.

Joint Accreditation Statement:

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and American Association for Geriatric Psychiatry (AAGP). Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Amedco Joint Accreditation #4008163.

Physicians (ACCME) Credit Designation:
Amedco LLC designates this activity for a maximum of 3.0 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Our expert reviewers greatly contribute to the high standards of the Journal/manuscript. Thank you for your participation.