MidSouth Pharmacy Residents Conference COI

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Contact Information
Sponsorship and Conflict of Interest Declaration for all Speakers

Having an interest in, or affiliation with, a commercial interest does not prevent a speaker from making a presentation, but the relationship must be made known to the audience in accordance with the standards of the Accreditation Council for Continuing Pharmacy Education. In order to fulfill this obligation, please assist us by completing the following information regarding relationships held within the past 12 months (this includes spouse/life partner affiliations as well).

Describe any relevant financial relationship


If any unapproved or off-label uses of products will be discussed, disclosure must be made to the participants regarding the unapproved or off-label use.