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Conflicts of Interest
Date: …………………………………………………………………………………………….
Your name: ……………………………………………………………………………………………
Manuscript Title: …………………………………………………………………………………………….
Manuscript Number (if known); …………………………………………………………………………………………….
In the interest of transparency, we ask you to disclose all relationships/activities/interests listed below that are related to the content of your manuscripts. “Related” means any relation with for-profit or not-for-profit third parties whose interests may be affected by the content of the manuscript. Disclosure represents a commitment to transparency and does not necessarily indicate a bias. If you are in doubt about whether to list a relationship/activities/interest, it is preferable that you do so.
The author’s relationships/activities/interests should be defined broadly. For example, if your manuscript pertains to the epidemiology of hypertension, you should declare all relationships with manufacturers of antihypertensive medication, even if that medication is not mentioned in the manuscript.
In item #1 below, report all support for the work reported in this manuscript in this manuscript without a time limit. For all other items, the time frame for disclosure is past 36 months.
Please fill the attached pdf and submit it with the manuscript.
Name all entities with whom you have this relationship or indicate none (add rows as needed) | Specifications/Comments (e.g., if payments were made to you or to your institution) | |||
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