We are looking forward to having the opportunity to include you as a faculty speaker in the accredited continuing education, 39th International Bubble Conference Chicago, Illinois | September 10th - 11th, 2025.

Northwest Imaging Forums, Inc. is accredited by the ACCME. We appreciate your help in partnering with us to follow accreditation guidelines and help us create high-quality education that is independent of industry influence. In order to participate as a person who will be able to control the educational content of this accredited CE activity, we ask that you disclose all financial relationships with any ineligible companies that you have had over the past 24 months. We define ineligible companies as those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. There is no minimum financial threshold; you must disclose all financial relationships, regardless of the amount, with ineligible companies. We ask you to disclose regardless of whether you view the financial relationships as relevant to the education. For more information on the Standards for Integrity and Independence in Accredited  Continuing Education, please visit accme.org/standards. 

Since healthcare professionals serve as the trusted authorities when advising patients,  they must protect their learning environment from industry influence to ensure they remain true to their ethical commitments. Many healthcare professionals have financial relationships with ineligible companies. By identifying and mitigating relevant financial relationships, we work together to create a protected space to learn, teach, and engage in scientific discourse free from influence from organizations that may have an incentive to insert commercial bias into education. 

After we receive your disclosure information, we will review it to determine whether your financial relationships are relevant to the education. Please note: the identification of relevant financial relationships does not necessarily mean that you are unable to participate in the planning and implementation of this educational activity. Rather, the accreditation standards require that relevant financial relationships are mitigated before you assume your role in this activity. 

To help us meet these expectations, please use the form we have provided to share all financial relationships you have had with ineligible companies during the past 24 months.  This information is necessary in order for us to be able to move to the next steps in planning this continuing education activity. 

If you have questions about these expectations, please contact us at (541) 683-4930 or  nwforums@nwforums.com. 

As a prospective planner or faculty member, we would like to ask for your help in protecting our learning environment from industry influence. Please complete the form below and return it to us by (7/15/25). This information is necessary in order for us to be able to move to the next steps in planning this CME activity. If you refuse to disclose relevant financial relationships, you will be disqualified from being a part of the planning and implementation of this CME activity. 

Sincerely, 

Matt Wilson, Accredited Provider  

Northwest Imaging Forums 

The ACCME Standards for Integrity and Independence require that we disqualify individuals who refuse to provide this information from involvement in the planning and implementation of accredited continuing education. Thank you for your diligence and assistance. 

Please disclose all financial relationships that you have had in the past 24 months with ineligible companies (see definition below). 

For each financial relationship, enter the name of the ineligible company and the nature of the financial relationship(s). There is no minimum financial threshold; we ask that you disclose all financial relationships, regardless of the amount, with ineligible companies.  You should disclose all financial relationships regardless of the potential relevance of each relationship to the education.

1. Name of Ineligible Company – An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. For more information and examples, visit [accme.org/standards](https://accme.org/standards).

2. Nature of Financial Relationship – Examples include roles such as employee, researcher, consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, or ownership interest. Individual stocks and stock options must be disclosed, while diversified mutual funds do not need to be. If you receive research funding from an ineligible company, disclose it as the principal or named investigator, even if the funds are managed by your institution.

3. Has the Relationship Ended? – If the financial relationship existed in the past 24 months but has since ended, please check the box in this column. This will help our education staff determine if any mitigation steps are needed.