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Sample
Speaker Disclosure

• I have no financial relationships or affiliations
  to disclose.
• OR
• Under ACCME guidelines
• I have a financial affiliation with ________.
• I have received financial support or grant monies
  from ___ for ___.
• I have received an honorarium from _____for
  giving this presentation.
• AND
• 3. I intend to reference the following off-label
  or investigational use of drugs or products in my
  presentation _______________________
• Sample Disclosure Slide