Get Ny Napnap Faculty Declaration Form 2015-2025

Filling out the NY NAPNAP Faculty Declaration Form online is an essential process for ensuring transparency regarding any potential conflicts of interest in presentations. This guide will walk you through each section of the form, providing clear, step-by-step instructions to facilitate a smooth completion.

Follow the steps to complete the NY NAPNAP Faculty Declaration Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the presentation title in the designated field, ensuring it accurately reflects the topic of your presentation.
3. Fill in your name in the presenter name(s) section.
4. Indicate whether you or an immediate family member has had any financial interest or affiliation that could be perceived as a conflict of interest in the past two years. Choose the appropriate option and provide details if applicable.
5. If applicable, list the name of the organizations related to your affiliation or financial interest, and specify the type of support or relationship (e.g., honorarium, grant support, consultant roles).
6. Complete the section regarding 'Off-Label' Use by selecting whether you will discuss or demonstrate any off-label uses of drugs or medical devices. Provide details if necessary.
7. Fill in the Faculty Qualification Record by entering the title of your presentation, your name, address, city, state, zip code, telephone, fax, email, credentials, area of specialization, current position, and place of employment.
8. Detail your qualifications for presenting the session, including any relevant publications or previous seminars.
9. Finally, review all information for accuracy, sign the document, and enter the date. Ensure you also note the return due date and the contact information for submission.
10. Save your changes, and if desired, download, print, or share the form as needed.

Complete your NY NAPNAP Faculty Declaration Form online today to ensure timely submission and compliance with guidelines.