Conflict of Interest Disclosure

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Sample Disclosure Slides Information: A presenter must include Disclosure slides for each presentation – even if nothing to disclose Two slides are required.
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<Title> <sub-title>
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Session Title Speaker Name(s).
Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.
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Presentation transcript:

Conflict of Interest Disclosure In the past 2 years I have been an employee of: COMPANY NAMES In the past 2 years I have been a consultant for: COMPANY NAMES In the past 2 years I have held investments in the following pharmaceutical organizations, medical devices companies or communications firms: COMPANY NAMES In the past 2 years I have been a member of the Scientific advisory board for: COMPANY NAMES In the past 2 years I have been a speaker for: COMPANY NAMES In the past 2 years I have received research support (grants) from: COMPANY NAMES In the past 2 years I have received honoraria from: COMPANY NAMES I agree to disclose approved and non-approved indications for medications in this presentation: YES/NO I agree to use generic names of medications in this presentation: YES/NO There are no relationships to disclose: YES/NO