SAMPLE: Presenter Name, MD Presenter Affiliation/Institution - PowerPoint PPT Presentation

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SAMPLE: Presenter Name, MD Presenter Affiliation/Institution

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SAMPLE: Presenter Name, MD. Presenter Affiliation/Institution. I have no financial ... My presentation does/does not include discussion of off-label or investigational ... – PowerPoint PPT presentation

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Title: SAMPLE: Presenter Name, MD Presenter Affiliation/Institution


1
SAMPLE Presenter Name, MDPresenter
Affiliation/Institution
  • I have no financial relationships to disclose
    within the past 12 months relevant to my
    presentation
  • OR
  • I have financial relationship(s) within the last
    12 months relevant to my presentation with (list
    company and nature of relationship e.g. grants,
    advisory board, etc.)
  • AND
  • My presentation does/does not include discussion
    of off-label or investigational use
  • (if yes, list company and nature of relationship
    e.g. grants, advisory board, etc.)
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