Follow the steps to complete the Affidavit of Image Authenticity online

1. Click the ‘Get Form’ button to obtain the Affidavit of Image Authenticity and open it in your chosen online editing tool.
2. In the first blank, provide your name, as the instructor for the educational program.
3. Enter the title of the educational program in the designated field.
4. Fill in the date when the program will be presented in the specified area.
5. Declare the authenticity of the images by affirming that, to the best of your knowledge, they have not misrepresented or falsified treatment outcomes.
6. If any images have been altered for educational purposes, describe these modifications clearly in the space provided.
7. In the section labeled 'I submit that the above is true and accurate,' include the current date.
8. Print your name in the 'Name (printed)' section.
9. Provide your signature in the designated 'Signature' area and include the date you signed.
10. Navigate to the Conflict of Interest section and check the appropriate box to indicate whether you or a family member has a financial arrangement with any corporate organization.
11. If applicable, provide details regarding any financial interests or affiliations, filling in the corresponding sections as necessary.
12. Once all fields are completed, save your changes. You can then download, print, or share the completed affidavit as needed.

Complete your Affidavit of Image Authenticity online today!