INDIVIDUALS IN CONTROL OF CONENT:
Instructions: Complete columns 1-7 below for everyone in control of content.
►(1) List the name of the individual
►(2) List the individual’s role(s) in the activity [e.g., planner, course director, moderator, presenter, author, patient, and/or other (please specify)]
►(3) List the name of the ACCME-defined ineligible company(ies) with which the individual has a relevant financial relationship or if the individual has no relevant financial relationship(s), write N/A
►(4) List the nature of that relationship(s), or N/A if no relevant financial relationships
►(5) If the relationship(s) is specific to a therapeutic area(s), list/describe, or N/A if the individual does not have financial relationships or did not include information in this column on their form
►(6) Let us know if the financial relationship existed during the last 24 months but has now ended, or N/A if no financial relationships.
►(7) List Individual's email if they listed financial relationships or N/A if no financial relationships.
* Examples of how to list the information.
