Financial relationship disclosure statement
As the accredited provider of continuing education, FADONA must ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. All faculty participating in a FADONA educational activity and all volunteers participating in content development, authorship or review of enduring materials, or on program planning are required to disclose to the FADONA Education Committee and the Program Planning Committee any financial interest or other relationship with (1) pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation within the past 12 months, including financial or other potentially conflicting relationships of a spouse or partner. The intent of disclosure is not to prevent new ideas coming into the planning process, but to consider conflict of interest and how it may be resolved and reported to learners prior to the education session/activity.
Please complete and sign Parts A, B, and C below.