Disclosure Form Submission
Thank you for participating in our educational activity Richard Lende Conference January 31st- February 3rd, 2025. We believe that education must be free from any commercial bias and to offer CME credit for your part of the activity, we must disclose any relevant financial relationships to learners. Please complete this short survey regarding your relevant financial relationships as soon as possible, but no later than January 7, 2025.
Online
Submit form online.
By Mail or Email
If sending by mail or email, download the Disclosure Form [pdf] and send to address below.
Randy Jensen, MD, PhD
175 North Medical Drive East
Salt Lake City, Utah 84132-2303
Randy.Jensen@hsc.utah.edu
Contact Us
Meeting Coordinator
Lanette Dunbar
Email: lanette.dunbar@hsc.utah.edu
Phone: 801-556-2539
Fax: 801-581-4385
Health Science Center
Bldg 550, 5th Floor
175 N. Medical Drive East
Salt Lake City, UT 84132