This order form is for Audio/Video/DVD media loan program orders only. To order online CME programs please call the CME office at (800) 274-1972, (918) 586-4615, or (918) 586-4617.

Please Note: CME credits cannot be awarded until fee payment is received, tapes and completed post-test have been returned to our office. Please keep in mind that a passing grade of 70% is required.  The due date for return of materials is two (2) weeks after the order has been shipped.   Make checks payable to OSU-COM.  You may order by phone by calling 1-800-274-1972 or 918-561-4615

Complete and submit the form below, or print out the form and send it with your check to:

OSU Center for Health Sciences
Office of CME
1111 W. 17th St.
Tulsa, OK 74107-1898

Please make checks payable to OSU Center for Health Sciences

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For credit card orders: Call 800-274-1972 (or 918-586-4615 or 918-586-4617 for local calls) and provide your credit card information. -- OR -- Complete the order form online and print it. Add the following credit card information: Mastercard or Visa, card #, expiration date, and 3 digit # (on back of card). Fax it to 918-586-4618. We do not except Discover or American Express. Credit Hour/Rental Fee is $10.00 per hour/length of each program. Fee: (Example: Program A#0099 is 2 hours in length, 2 hrs. x $10.00 per credit hour = $20.00 for credit/rental fee plus postage and handling fee of $2.00 = $22.00) A pre-addressed, postage-paid bubble mailer is enclosed with each order to return the tape/DVD and completed post-test. Program # Tape Length: Credit Hour/Rental Fee: Total Charge: select hours 1 hour 2 hours 3 hours 4 hours X $10.00/hr. = --- $10.00 $20.00 $30.00 $40.00 select hours 1 hour 2 hours 3 hours 4 hours X $10.00/hr. = --- $10.00 $20.00 $30.00 $40.00 select hours 1 hour 2 hours 3 hours 4 hours X $10.00/hr. = --- $10.00 $20.00 $30.00 $40.00 select hours 1 hour 2 hours 3 hours 4 hours X $10.00/hr. = --- $10.00 $20.00 $30.00 $40.00 select hours 1 hour 2 hours 3 hours 4 hours X $10.00/hr. = --- $10.00 $20.00 $30.00 $40.00 select hours 1 hour 2 hours 3 hours 4 hours X $10.00/hr. = --- $10.00 $20.00 $30.00 $40.00     Sub Total = Add Postage and Handling Fee for EACH tape/DVD ordered:  (Includes return postage-paid envelope) ($5.00 per VHS tape or $2.00 per Audio tape/DVD) Total Amount Due =