The Disclosure Compliance Process and Individual Requirements

Disclosure Templates and Examples

The table below provides options for disclosure, templates for doing so, and documentation options:

presentation slide Promotional Material Sign-in sheet Attestation
Placement Immediately after title slide Any part of a promotion piece On or next to activity sign-in sheet Verbal delivery
Examples\ Templates

1.  Powerpoint with multiple disclosure types

1. No financial relationship

2. With financial relationship

1. No financial relationship

2. With financial relationship
Verbal disclosure form
Process to submit Store and submit all presentations via email

1. Include uab@cme.edu on event promotion communications

2. Upload all promotional flyers to the Activity record

Scan sign-in sheets and submit via email to your CME representative Scan course director signature and submit via email to your CME representative

For series that will have presenters who are internal to UAB (or primarily internal to UAB), we have the option to custom-build a single disclosure sheet for the course director and all presenters that can be reused for all presentations. Please contact us if you think this option would work for you.

Forms

Financial Disclosure Form

Conflict of Interest Mitigation Form for Planners

Conflict of Interest Mitigation for Presenters/Content Authors