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The Presenting Author is responsible for the information and statement as outlined under Step 3 and must complete this form on behalf of all co-authors. Abstracts will not be considered for the program if you do not complete this information.
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c. Check ONE of the following: I have read the Conflict of Interest Statement above and certify that all the abstract authors have no actual or potential conflict of interest in relation to this abstract. I have read the Conflict of Interest Statement above and am disclosing that one or more of the abstract authors has a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this abstract. Conflicts may include: grant/research support, consultant positions, speaker's bureau affiliations, being a major stock shareholder, or other financial or material support.
d. Read the statements below and acknowledge your consent by placing a check in the box. I hereby verify that I have the approval of all authors to submit this work for presentation; any animal studies conform with the "Guiding Principles in the Care and Use of Animals" of the American Physiological Society and any human experimentation has been conducted according to a protocol approved by the institutional committee on ethics of human investigation or if no such committee exists, that it conforms with the principles of the Declaration of Helsinki of the World Medical Association (CLINICAL RESEARCH 14:193, 1966).
Authors: Complete the Authors portion of the form (up to six), using the Institution ID (above) for each author.