2025 Disclosures Form

INSTRUCTIONS

First, check the "Participant Agreement" boxes below to acknowledge that you have read this form and agree to all its provisions.

Second, please disclose all financial relationships (any amount) that you have had in the past 24 months with ineligible companies.  You should disclose all financial relationships regardless of the potential relevance of each relationship to the education.

For each type of relationship there is a drop-down list showing possible company names. You can also indicate “Other”, in which case the name of the company or other information must be entered in the space provided.

If the type of relationship you disclose does not fall under one of the categories shown, please enter it in the “Other” section at the bottom of the form.

The ISMRM does NOT want to know how much you received. Please do not provide the amount.

PARTICIPANT AGREEMENT

Please check each box below to acknowledge that you have read this form and agreement, and that if your abstract is accepted you will satisfy all obligations and responsibilities of meeting presenters, including observance of the following ISMRM policies:

DECLARATION

Mitigating Relevant Financial Relationships:

Should ISMRM determine that a disclosed financial relationship(s) is relevant, ISMRM will begin a series of steps to mitigate the relevant financial relationship(s) based on the individual’s role in the activity and identify what, if any, action is necessary. The mitigation mechanism will identify potential bias and ensure content is aligned with interests of the learner. Only when the relevant financial relationship(s) has been mitigated may the individual participate in the activity.

Validation Statements:

ISMRM supports the validation of clinical content for all accredited CE activities. Please review the following statements and indicate your intent to comply with each expectation.

PERMISSION TO RECORD

For the 2025 meeting, all sessions will be recorded, live streamed through our virtual platform or live meeting, and made available to meeting registrants on the ISMRM/ISMRT web site after the meeting. These presentations will be password protected, accessible only to meeting registrants and, after the end of the year, to ISMRM/ISMRT members. Highly received content may be repurposed as a stand-alone educational activity. No presentation will be broadcast on our website without the specific permission of the author.

We need your permission in order to include your presentation in this program. It is REQUIRED that you select one of the options below in order to submit your contribution.