A financial relationship statement is required for all activity faculty, whether they are a presenter or part of the planning committee. Faculty are also required to list all financial relationships within the past 24 months, regardless of relevance. Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options, or other ownership interest, excluding diversified mutual funds), or other financial benefit.

To complete: go to your profile, click edit, and click the Financial Relationship tab or click the link above. Complete with the necessary details. For any relationship that has ended within the last 24 months, enter the date the relationship ended. Update as needed throughout the year.
NOTE: You must complete this form before completing the Disclosure/Speaker Agreement Form

This form may be assigned on its own or as a dual form along with the Speaker Agreement Form. Disclosures are required for all activity faculty, whether they are a presenter or part of the planning committee. The CME Director and Activity Chair will review all disclosures to identify any potential relevant financial relationships. The CME Director decides on the mechanism for mitigating any relevant relationships found via the COI Resolution/Peer Review Form.

To complete: This form must be assigned to your profile before you can complete it. You will receive an email with a direct link to complete it once the form is ready. You can also go to your profile and click the "Faculty" tab to view all your assigned forms.
NOTE: You must complete/update your Financial Relationship Statement before completing this form.

This form may be assigned on its own or as a dual form along with the Disclosure Form. This form is required from anyone presenting, speaking, or moderating a CME activity. You will be asked to affirm your compliance with the appropriate standards and to ensure balance, independence, objectivity, and scientific rigor as a participant in our educational activities.

To complete: This form must be assigned to your profile before you can complete it. You will receive an email with a direct link to complete it once the form is ready. You can also go to your profile and click the "Faculty" tab to view all your assigned forms.

ALL faculty members, regardless of role, should complete this form. While some portions are optional, we will use this information to update the information in your visible faculty profile. Below is what we will ask you to provide with this form, based on the faculty role

1. Primary & Alternative Contact Information ^§∆ - Required for all. We will only use this information to reach out for forms and urgent matters
2. Social Media Handles & Permission to Share ^† - Optional, only if you wish us to tag you in related promotional material.
3. Assistant/Secretary Information ^∆ - Optional, only if you wish us to tag you in related promotional material.
4. Photo ^† - Required for Speakers/Presenters, Moderators, Course Chairs, and Course Committee Members. Strongly recommended for all others.
5. Bio ^§† - Required for Speakers/Presenters, Moderators. Strongly recommended for Course Chairs and Course Committee Members. All other faculty can leave this information blank or use it to provide information about your practice/organization. (NCHS employees: Your professional headshot and bio will be used if it is available in the main website)
6. Curriculum Vitae ^{§ ∆} - Accreditation Requirement for Speakers/Presenters, Moderators, Course Chairs, and Course Committee Members. All others need not submit. If you are unable to submit this through the form, please send the file to us via email.

To complete: Your invitation email contains a direct link to complete this form if assigned. You can also click the link above to launch the form.

For faculty participating as speakers/presenters only. This form is required to be completed as soon as possible after receiving your invitation as it will help us prepare for your session.

Use this form to notify us of any special accommodations required for your presentation (such as setting up video playback, audience polling, additional audio elements, etc.)

To complete: This form can vary depending on the activity - you must use the direct link in your invitation email to access the correct form.

You may upload/submit your presentation slides through the submission form or by attaching and sending it via email. The form has a file size limit of 1GB, please contact us if you need to upload a larger file.

A copy of your presentation is required for CME accreditation, even if the slides are not to be shared with learners. For activities where handouts are provided, a PDF format will be created from your slides - without notes

Regarding PHI - You must ensure all PHI data has been removed from any images/narratives included in your presentation, before submitting your slides and presenting. It is your responsibility to notify us when there may be PHI present.

Required in when sessions are planned to be recorded, or if photography is expected during the session.

To complete: This form must be assigned to your profile before you can complete it. You will receive an email with a direct link to complete it once the form is ready. You can also go to your profile and click the "Faculty" tab to view all your assigned forms.