ASMBS State Chapters are able to apply for joint CME providership with the American Society for Metabolic and Bariatric Surgery. These documents will help State Chapters plan their educational activities in compliance with Accreditation Council for Continuing Medical Education (ACCME) standards.
Page Updated March 15, 2024
Read the joint CME providership application cover letter
CME Timeline and Checklist
The process of applying for joint providership begins 6 months before the start date of your CME activity. The timeline includes important dates, deadlines, and tasks to be completed in order to ensure your event meets all requirements for joint providership.
Download the State Chapter Joint Providership CME Timeline and Checklist
Joint Providership State Chapter Letter of Intent
This document serves as a formal declaration of interest and commitment between the state chapter and the ASMBS to collaborate on the planning, implementation, and evaluation of a CME activity. This document must be submitted upon first contact with the State Chapter CME contact. You can download this document, complete it electronically, or print it out and scan/email to statechapterscme@asmbs.org.
Download the Joint Providership State Chapter Letter of Intent
Joint Providership State Chapter CME Activity Agreement
This document, to be signed by both the State Chapter and ASMBS, establishes the acknowledgment of responsibilities and terms of joint providership. You can download this document, complete it electronically, or print it out and scan/email to statechapterscme@asmbs.org.
Download the Joint Providership State Chapter CME Activity Agreement
Joint Providership State Chapter CME Application and Activity Planning
This document is designed to ensure that CME activities considered for certification meet the Accreditation Council for Continuing Medical Education (ACCME) criteria. All required fields are to be completed before submission to the State Chapter CME contact at statechapterscme@asmbs.org.
Disclosure Report for Participant Notification
All faculty/speakers, planners, abstract reviewers, moderators, authors, co-authors and administrative staff participating in the continuing medical education programs sponsored by the ASMBS are expected to disclose to attendees any/all relevant financial relationships related to the content of their presentation(s) in accordance with ACCME Guidelines for Commercial Support. It is the Non-Accredited State Chapter’s responsibility to collect ALL disclosures and submit them to the ASMBS prior to planning.
ASMBS Financial Relationship Disclosure Form
If an Application is provided at least 3 months in advance of the meeting, ASMBS can assist in collecting financial disclosures for speakers. ASMBS must review all disclosures and review for conflict.
Letter of Agreement for Educational Grants and Sponsorship
This letter of agreement must be sent to all companies providing educational grants and sponsorship for the State Chapter event, stating the terms and conditions, monetary contributions, and signatures of confirmation.
Download the Letter of Agreement for Educational Grants and Sponsorship