Conflict of Interest Disclosure

Accreditation of continuing professional development (CPD) events requires a conflict of interest disclosure be submitted by all individuals providing content for a CPD event, and again when that content is presented to an audience. These disclosures must be made whether an individual does or does not have a relationship to disclose.

For information on the interests to be reported and how they will be managed, please refer to the CDA Corporate Administrative Policy: Conflict of Interest Disclosure and Management for CPD Activities

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Your name

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Title of activity

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Date of activity (dd/mm/yyyy)

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Role(s) in symposium

Member of the Scientific Planning Committee

Moderator

Speaker

Content author

Facilitator

Other (describe)

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Disclosure declaration

I did NOT have a relationship with a for-profit and/or a not-for-profit organization in the last two years

I did have a relationship with a for-profit and/or a not-for-profit organization in the last two years