/ Program Number: _____536-009-14______
Date: ______6.10.2014______
Program Title: Next Generation Sequencing Cancer Panels in Clinical Practice
Speaker(s):Colin Pritchard, MD, PhD
Contact Hours: _____1.0______
Location: ______N/A______

VERIFICATION OF ATTENDANCE ROSTER I have attended the full instructional time for this program. I understand that completion of this program and my signature on this form are necessary to receive the contact hours awarded for this program.

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Low High
Summary of Evaluations 1234
Speakers:
Objectives Achieved: 
Program Content:

I certify that the participants listed on the Attendance Roster(s) have successfully completed the above program and are deserving of the P.A.C.E. ® contact hours indicated.

Signature - Program Administrator or designeeDate

VERIFICATION OF ATTENDANCE ROSTER I have attended the full instructional time for this program. I understand that completion of this program and my signature on this form are necessary to receive the contact hours awarded for this program.

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