This continuing education disclosure form is to assist in identifying and resolving any potential conflicts of interest. A conflict of interest exist when an individual has a financial relationship with a commercial interest and has the chance to affect the educational content related to that commercial interest. The goal is to maintain balance, independence, objectivity, and scientific accuracy of all educational offerings. Disclosed financial relationships with a commercial interest is not the basis for continuing education offerings approval. However, if you are not able to disclose any financial relationships for any reason, your activity or course will not be approved to offer continuing education credits. A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. Excluded from these are providers of clinical service directly to patients: non-profit or government agencies; non-health care related companies, liability and health insurance providers; group medical practices; for-profit hospitals; rehabilitation centers and nursing homes; blood banks; and diagnostic laboratories. Included into what needs to be disclosed are ownership of commercial interests, membership on boards of directors, trustees or advisory committees of commercial interests, grants or research support from commercial interests (excluding government, non-profit, or independent foundations), affiliate of commercial interests (including stock holder but not mutual fund holdings, employee/consultant, and member of speakers bureau).