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The Financial Disclosure & Agreement Form must be completed annually by members of the medical staff who attend and participate in any of the following conferences:
- Breast Multi-Disciplinary
- CNS Multi-Disciplinary
- GI Multi-Disciplinary
- GYN Multi-Disciplinary
- Head & Neck Multi-Disciplinary
- Melanoma Multi-Disciplinary
- Thoracic Multi-Disciplinary
- Trauma and any Joint Sponsored conferences
Please complete and submit to the email address located on the form. If you have any questions, please call 719-776-5140.
Financial Disclosure & Agreement Form
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