IRF - Project Submission Form
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Notice - This form will time out in approximately 45 minutes.  We recommend reviewing the submission requirements and creating your responses in a word document first and then pasting them into the form.

PRESENTER
 PROJECT
Incomplete projects can be presented as posters only.
A FEW MORE THINGS
 DISCLOSURE
 
DISCLOSURE OF FINANCIAL RELATIONSHIPS WITHIN 12 MONTHS OF DATE OF THIS FORM
 
A Commercial Interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

 

*If you select 'YES' you will be contacted by MAFP staff to provide additional information.



DISCLOSURE OF UNLABELED/INVESTIGATIONAL USES OF PRODUCTS

The content of my material(s)/presentation(s) in this CME activity includes discussion of unapproved or investigational uses of products or devices.

*when you select 'YES' please list



Permission is needed to use images, including cartoons and photos, in presentation slides. Fair Use does not apply when presenting for an Academy Continuing Medical Education session. Learn more about Copyright & Permission FAQs from the American Academy of Family Physicians.


All presenters must register for the Forum.  There is no cost for residents or students to register. You will be prompted to register.

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