When should I complete an ABA disclosure form?
All individuals with the ability to influence educational programming must submit a disclosure form to the in their ABA profile on an annual basis. This includes faculty, speakers, authors, moderators, committee members and others.
Please note: For Annual Meeting-related disclosures, you will also be required to use the speaker submit your disclosures in the ABA speaker management system, Cadmium, where you originally submitted the abstract, educational forum, etc.
How do I find the disclosure form on the ABA website?
After signing onto your profile, click on MY ACCOUNT on the left-hand panel.
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Role in Educational Activity:
ABLS: Instructor
Content Expert
Committee Member
Regional Meeting: Planning Committee
Regional Meeting: Speaker/Course Director/Author
Course: Planning Committee
Course: Speaker/Course Director/Author
Board of Trustees
ABA Staff
None selected
Is there a financial relationship?
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If you answer yes to all 3 items below, you’ve identified a financial relationship with an ineligible company that must be mitigated before the activity occurs.·
Financial relationship between person in control of content and an ineligible company, as defined below
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Any amount ($)
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In the past 24 months
If you answered yes, please add EACH financial relationship in your Impexium Account. If you answered no, please submit your disclosure form.
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Add Relationship - Check all that apply.·
Contract Research
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Employment
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Ownership Interest (Stocks or other ownership interest excluding diversified mutual funds)
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Ownership Interest (stock options, patent or other intellectual property)
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Royalties
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Speaker honoraria
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Other
None selected
Other relationships, not listed above:
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