• You agree to serve ASGE in this capacity (see accompanying documentation for details of your appointment).
• You agree to file an amended disclosure statement if additional conflicts of interest arise during the current term of service.
• Or you may decline the appointment.
I have read the Conflict of Interest Policy of the American Society for Gastrointestinal Endoscopy. I conclude that, to the best of my knowledge,
For additional questions, please contact: James Janssen, Governance Manager
American Society for Gastrointestinal Endoscopy
Email – firstname.lastname@example.org
3300 Woodcreek Drive
Downers Grove, IL 60515