In order to identify and resolve all potential conflicts of interests we ask that presenters and planners complete the Conflict of Interest Disclosure Form. For your convenience it is available as a fillable pdf document, editable on your computer. Please submit it as an attachment to an email addressed to Laura Worrall (email@example.com) at least 1 month prior to the activity.It is recommended that you save a copy for any modifications that you may need to make for future presentations.
SIU School of Medicine Faculty and Staff please use the
SIU SOM Conflict of Interest Website >