Author/Presenter Disclosures and Attestation

Miami Neuroscience Symposium Online

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Please list your name and title as they should appear on the website and other promotional materials.
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Agreement

A. Unbiased and Independent Content

I agree to uphold academic standards to insure independence and scientific rigor in my role in the development and presentation of this CME & CE activity.

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B. Online Posting for e-Posters

Baptist Health CME provides registered attendees with access to e-Posters in digital format on the Baptist Health CME portal before and after the symposium. Access will be shared only with symposium attendees and faculty and will be available until December 12, 2020.

NOTE: We cannot post e-Posters which are not compliant with laws related to copyright/fair use, HIPAA or PHI.

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C. e-Poster Guidelines
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D. HIPAA & PHI (Protected Health Information) Laws

I take responsibility for compliance with HIPAA Privacy requirements and applicable state and United States federal laws protecting confidentiality and security of PHI and safeguarding PHI.

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F. Unlabeled / Unapproved Use

I agree to disclose to the audience if my e-Poster includes information about a product not labeled by the FDA for the use under discussion or that is still investigational.

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Disclosures

The Baptist Health South Florida Continuing Medical Education Program, an ACCME-accredited CME provider, operates within the framework of the Standards of Commercial Support (SCS) to ensure balance, independence, objectivity and scientific rigor in all of its CME activities. Anyone engaged in content development, planning or presentation is obliged to complete this form. Persons who refuse to return this completed form in a timely manner may not participate in the CME activity.

Relevant Financial Relationships
  • Circumstances create a conflict of interest when an individual has an opportunity to influence or control CME content about products or services of a commercial interest with which he/she has a financial relationship.
  • The ACCME defines a "commercial interest" as any entity producing, marketing, re-selling, or distributing healthcare goods or services consumed by, or used on, patients. The ACCME does not consider providers of clinical services directly to patients to be commercial interests.
  • The ACCME focuses on relevant financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity.
  • The ACCME considers relationships of the person involved in the CME activity to include relevant financial relationships of a spouse or partner.
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NOTE: Please do not disclose actual financial value of affiliations. Diversified mutual funds are not included in the definition of "commercial interest."
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Attestation

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Please sign your name.