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  1. Sample Speaker Disclosure • I have no financial relationships or affiliations to disclose. • OR • Under ACCME guidelines: • I have a financial affiliation with ________. • I have received financial support or grant monies from ___ for ___. • I have received an honorarium from _____for giving this presentation. • AND • 3. I intend to reference the following off-label or investigational use of drugs or products in my presentation: _______________________ • Sample Disclosure Slide