Speaker Resources

Global Health Course Speaker Requirements and Resources

• CME 2009 Attestations and Consent Form
• CME 2009 Disclosure Form
• CME 2009 Disclosure Summary
• CME 2009 Disclosure Power Point Slide Sample

*Disclosure page to be included in all speaker presentations

Health Insurance Portability and Accountability Act (HIPAA)

Copyright Facts

Additional Speaker Requirements

• Speaker Release Form
• Speaker Objectives (Please provide lecture objectives)
• Speaker Lecture Questions (Please provide 2-3 questions per lecture) 
• Photo Submission (Please submit a photo if available)
• Photo Release Agreement

Independent Vendor Information

• Contract Form
• Authorization Form
• W-9 Form

*Speaker will be notified if contract is necessary

• Deadline for all speaker information is JUNE 2, 2009. 
• All CME agreements may be sent back electronically. 
• The CME agreements above are valid for a period of 12 months.
• Speakers do not need to register for the Global Health Course.
• Speakers may feel free to share any relevant resources that you may have or any articles that you have published.

Please contact Debra Luedtke at: gblhth@umn.edu to submit course materials or if you have any questions or concerns.