Financial Disclosure Financial Interest / Affiliation

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Presentation transcript:

Financial Disclosure Financial Interest / Affiliation I hereby disclose any and all relationships with for-profit and/or not-for-profit organizations over the previous 2 years, not just those relevant to the subject being discussed. Financial Interest / Affiliation Name of organizations Description of relationship(s) Any direct financial payments including receipt of honoraria Membership on advisory boards or speakers’ bureaus Funded grants or clinical trials Patents on a drug, product or device All other investments or relationships that could be seen by a reasonable, well-informed participant as having the potential to influence the content of the educational activity.

Financial Disclosure I do not have any affiliation (financial or otherwise) with a for-profit or not-for-profit organization that may have a direct or indirect connection to the content of my presentation(s).