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DISCLOSURE STATEMENT Speaker: INSERT NAME Dr. NAME has disclosed - PowerPoint PPT Presentation

DISCLOSURE STATEMENT Speaker: INSERT NAME Dr. NAME has disclosed the following relevant financial relationships. Any real or apparent conflicts of interest related to the content of this presentation have been resolved. Affiliation / Financial


  1. DISCLOSURE STATEMENT Speaker: INSERT NAME Dr. NAME has disclosed the following relevant financial relationships. Any real or apparent conflicts of interest related to the content of this presentation have been resolved. Affiliation / Financial Affiliation / Financial Organization Organization Interest Interest [TYPE] [NAMES OF COMPANIES] [TYPE] [NAMES OF COMPANIES]

  2. INSERT NAME Has documented that he/she has no relevant financial relationships to disclose or COIs to resolve.

  3. Unapproved or Off Label Disclosures for INSERT NAME Presenter: NAME has documented that his/her presentation will not involve discussion of unapproved or off-label, experimental or investigational use. or-- Presenter: NAME has documented that his/her presentation involves comments or discussion of unapproved or off-label, experimental or investigational use of <<identify products, drugs or devices>>.

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