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Disclosure Information 85 th Annual Scientific Meeting Speaker’s Name Here

Disclosure Information 85 th Annual Scientific Meeting Speaker’s Name Here. I have the following financial relationships to disclose: (select those that apply – delete those that do not) Consultant for: <name here> Speakers Bureau for: <name here> Grant/Research support from: <name here>

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Disclosure Information 85 th Annual Scientific Meeting Speaker’s Name Here

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  1. Disclosure Information85thAnnual Scientific MeetingSpeaker’s Name Here I have the following financial relationships to disclose: (select those that apply – delete those that do not) • Consultant for: <name here> • Speakers Bureau for: <name here> • Grant/Research support from: <name here> • Stockholder in: <name here> • Honoraria from: <name here> • Employee of: <name here> I will not discuss off-label use and/or investigational use in my presentation OR (select one and delete the other) I will discuss the following off-label use and/or investigational use in my presentation:

  2. Disclosure Information85thAnnual Scientific MeetingSpeaker’s Name Here I have no financial relationships to disclose. I will not discuss off-label use and/or investigational use in my presentation OR (select one – delete the other) I will discuss the following off-label use and/or investigational use in my presentation:

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