Register Speakers and Collect CME Disclosures in One Form

This medical conference speaker registration and CME conflict of interest disclosure form brings faculty onboarding and continuing education compliance together in one organized workflow. Speakers provide their full name, credentials exactly as they should appear in the program, professional title, institutional affiliation, contact details, and a short biography, then upload their CV and a high-resolution headshot. The presentation section captures the session title, a 250-word abstract, two to four measurable learning objectives, audiovisual requirements, and consent for recording and slide distribution.

The template is built for CME providers, medical societies, hospital education departments, academic medical centers, and healthcare event planners who run accredited conferences, grand rounds, symposia, and workshops. Its disclosure section is modeled on the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Speakers report every financial relationship with an ineligible company from the past 24 months, regardless of amount, and describe the nature of each one. They also confirm whether they own or work for an ineligible company and note whether their talk will cover off-label, unapproved, or investigational uses of drugs or medical devices.

Replacing scattered emails, spreadsheets, and paper packets with a single online form saves your team hours of follow-up and reduces the risk of incomplete disclosures before your activity begins. Structured, consistent submissions make it easier to identify relevant financial relationships, plan mitigation steps, prepare printed programs, and brief moderators. Customize the questions, branding, and deadlines to match your organization's policies, then share the link with your faculty and start collecting speaker details today.