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. Author manuscript; available in PMC: 2017 Dec 5.
Published in final edited form as: J Am Geriatr Soc. 2016 Dec 5;64(12):2413–2418. doi: 10.1111/jgs.14503

Elements of Financial/Personal Conflicts Author 1*
Mara Schonberg
Author 2 Author 3 Etc.

Yes No Yes No Yes No Yes No

Employment or Affiliation x

Grants/Funds x

Honoraria x

Speaker Forum x

Consultant x

Stocks x

Royalties x

Expert Testimony x

Board Member x

Patents x

Personal Relationship x

*Authors can be listed by abbreviations of their names.
For “yes” x mark(s): give brief explanation below:
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