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Bio/COI form for 2014 Neurology Update

Neurology Update 2014 - Biographical & Conflict of Interest Form

Step 1 of 3

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  • Please list your administrative assistant's name and contact information (if applicable)

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  • Please upload your most current CV/resume
    *Off-label use is the practice of prescribing pharmaceuticals or devices for an unapproved indication or in an unapproved age group, unapproved dose or unapproved form of administration.
    Select all that apply.
  • If the target audience is not listed above, please list your target audience.
  • Nursing accreditation requires that you provide scholarly references. Professional association websites, or generally applicable articles are fine. List DOES NOT have to be all-inclusive of everything consulted for your talk.


  • Please list 3-5 objectives per credit hour of presentation.

    Remember learning objectives must be consistent with the above activity type and must be measurable. If your target audience includes both pharmacists and technicians, you must write separate objectives for both audiences that apply to their scope of practice.

    (*Verbs to AVOID while writing objectives: appreciate, enjoy, really understand, be acquainted with, fully appreciate, realize, be aware of, grasp the significance of, remember, be familiar with, sympathize with, believe, know, understand, comprehend, learn)

  • Please list learning objectives for your presentation.