Georgia Orthopaedic Society (GOS)

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CME Faculty Disclosure Form

Below you will find two statements, one of which will apply to you in connection with your participation in the Georgia Orthopaedic Society Annual Meeting, October 5-8, 2017.

Please read the following statements and place a check in the box opposite the statement(s) which apply to you. If you do not have a financial interest or other relationship with a commercial company related directly or indirectly with the Georgia Orthopaedic Society Annual Meeting, place a check in the first box. If you do have any financial interest or relationship to disclose please check the box and include the name of the commercial company. Your disclosure will be listed in the Final Program/Course Syllabus.

The Academy does not view the existence of these interests or commitments as necessarily implying bias or decreasing the value of your participation in Academy activities.

©2017 Georgia Orthopaedic Society
131 Holly Springs Drive, Peachtree City, Georgia 30269   •  Tel: 478-474-2754   •   Fax: 678-669-2754

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