Faculty/Presenter Disclosure

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Faculty/Presenter Disclosure Faculty: [Speaker’s name] Relationships with commercial interests: – Grants/Research Support: PharmaCorp ABC – Speakers Bureau/Honoraria:

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Faculty/Presenter Disclosure Faculty: [Speaker’s name] Relationships with commercial interests: Grants/Research Support: PharmaCorp ABC Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd. Consulting Fees: MedX Group Inc. Other: Employee of XXY Hospital Group COMPLETION INSTRUCTIONS: All faculty must complete this slide; information should match Competing Interest Form; If NO relationship, add “Potential for conflict(s) of interest: Not Applicable” to this slide. This slide must be visually presented to the audience AND verbalized by the speaker.