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




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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