I have received manufacturer funding from the following companies I have done consulting work for the following companies YesNo I have done speaking engagements for the following companies ID: 1039215
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1. 1I, declare that in the past 3 years:I have received manufacturer funding from the following companies*:I have done consulting work for the following companies*:Yes/NoI have done speaking engagements for the following companies*: Yes/NoI or my family hold individual shares in the following companies*: Yes/No*pharmaceutical or medical/dental equipment Conflict of Interest Declaration