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Click ‘Get Form’ to open it in the editor.
Begin with Section 1: Identifying Information. Fill in your given name, surname, and indicate if you are the corresponding author. Ensure to double-check the manuscript number.
Move to Section 2: Work Under Consideration. Specify if you or your institution received any financial support for the work. If yes, check 'Yes' and provide details about the nature of compensation.
In Section 3: Relevant Financial Activities, report all financial relationships related to the submitted work from the past 36 months. Use separate lines for each entity and add comments as necessary.
Proceed to Section 4: Financial Relationships Involving Family. Indicate if your spouse or children have relevant financial relationships and provide details if applicable.
Finally, complete Section 5: Nonfinancial Associations by disclosing any personal or professional associations that may influence your work.

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ICMJE Uniform Disclosure Form for Potential Conflicts of Interest - acponline 2026

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