1. NOTE: This should be the first slide after the title page slide.
Disclosure Slide Samples for Presentations at ACCMEAccredited Conferences
NOTE: This should be the first slide after the title page slide.

2. Disclosures
• Grant/Research Support: List all companies or emit for no disclosure. • Speaker’s Bureau: List all companies or emit for no disclosure. • Consultant: List all companies or emit for no disclosure. • Major Shareholder: List all companies or emit for no disclosure. • Other: List all companies or emit for no disclosure.

3. Disclosure
• I have no actual or potential conflict of interest in relation to this program/presentation.

4. Disclosures I will be discussing “off-label” uses of
the following medications/ instruments/ implants/ technical equipments:
• List Medications
• List Instruments
• List Implants
List Technical Equipements