Faculty Disclosure Declaration

It is the policyofthe American Osteopathic Society of Rheumatic Disease (AOSRD) to insure balance, independence, objectivity, and scientific rigor in all its individually sponsored or jointly sponsored educational programs. All faculty participating in a AOSRD sponsored program are expected to disclose to the program audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing education program. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic. The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It remains for the audience to determine whether the speaker’s outside interests may reflect a possible bias in either the exposition or the conclusions presented.

PROGRAM: 47th Annual Conference of the AOSRD

DATE: March 8-10, 2019

(Please print or type)

    I have no actual or potential conflict of interest in this presentation.

    I have a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this presentation.

    Affiliation/FinancialInterest Name of Organization(s)
    Grant/Research Support
    Other Financial or Material Support

    Your cooperation in complying with this standard is appreciated. Please return this form as soon as possible to the program director or Office of Continuing Education.


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