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) 561-1412, or (918) 561-1411.

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 (800) 274-1972, (918) 561-1412, or (918) 561-1411.

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 918-561-1412 or 918-561-1411 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 918-561-1433. We do not except Discover or American Express. Credit Hour/Rental Fee is $15.00 per hour/length of each program. Fee: (Example: Program A#0099 is 2 hours in length, 2 hrs. x $15.00 per credit hour = $30.00 for credit/rental.  There is NO charge for postage and handling. 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 $15.00/hr. = --- $15.00 $30.00 $45.00 $60.00 select hours 1 hour 2 hours 3 hours 4 hours X $15.00/hr. = --- $15.00 $30.00 $45.00 $60.00 select hours 1 hour 2 hours 3 hours 4 hours X $15.00/hr. = --- $15.00 $30.00 $45.00 $60.00 select hours 1 hour 2 hours 3 hours 4 hours X $15.00/hr. = --- $15.00 $30.00 $45.00 $60.00 select hours 1 hour 2 hours 3 hours 4 hours X $15.00/hr. = --- $15.00 $30.00 $45.00 $60.00 select hours 1 hour 2 hours 3 hours 4 hours X $15.00/hr. = --- $15.00 $30.00 $45.00 $60.00     Sub Total = Total Amount Due =