1. Your Name, Degrees, Title here
Faculty Disclosure
In compliance with ACCME Guidelines, I hereby declare:
I have financial/other relationships with the manufacturer(s) of commercial product(s) or provider(s) of commercial service(s) discussed in this educational activity.
[PLEASE LIST RELATIONSHIP/ORGANIZATION HERE]
Your Name, Degrees, Title here

2. Faculty Disclosure
In compliance with ACCME Guidelines, I hereby declare:
I do not have financial or other relationships with the manufacturer(s) of any commercial services(s) discussed in this educational activity.
Name
Title