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ASFA 2018 Regional Meeting Facilitators Disclosure Form
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In accordance with ACCME regulations, the American College of Surgeons must ensure that anyone who is in a position to control the content of the education activity has disclosed all financial relationships with any commercial interests. Definitions can be found at:

All CME Planners and Speakers /Moderators/Discussants/Authors/Editors involved in the development and/or presentation of CME content must complete this form. The form must be updated whenever circumstances require.

Failure or refusal to disclose or the inability to manage the identified conflict will result in withdrawal of invitation to participate.

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