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«Date»
«First»«Last», «Title»
«Company»
«Address»
«City_State_Zip»
DearDr.«Last»:
Thank you for agreeing to speak at our upcoming Beaumont Health continuing medical education activity, “Insert Meeting Name”; key details of this meeting are:
Updated December 2011Page 1 of 3
- Presentation Title:
- Date:
- Time:
- Location:
Updated December 2011Page 1 of 3
An honorarium in the amount of $ will be provided for your presentation. Please note, we reserve the right to cancel the event due to unforeseen circumstances with advance notice. In the case of cancellation, non-refundable travel expenses will be reimbursed, but no honorarium will be paid.
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This meeting is certified for continuing medical education (CME) credits. To help complete our CME activity planning and enable us to process your payment in a timely fashion[BT3], we need you to complete the following online forms no later than .
Conflict of Interest (COI) Disclosure: This form identifies any relevant financial relationships you (or your spouse/significant partner) may/may not have. Please note that if you (or your spouse/significant partner) do identify any financial relationships on the COI form, you will be required to provide a copy of your presentation slides to the CME department for review and resolution of any potential COI. Please submit your presentation slides at least one (1) week prior to your presentation date to insert email address[BT4]. CLICK HERE to access the conflict of interest disclosure form.
Speaker Information/Media Consent Form:This form will assist us with ensuring a successful presentation. This meeting may be recorded. If you grant permission to be recorded, please provide your presentation slides at least one (1) week prior to your presentation date to insert email address[BT5]. In addition,be prepared to provide a minimum of three (3) post-test questions with answers that are related to the content of your presentation.[BT6]CLICK HERE to access the speaker information form.
W-9 Form
Required in order to process your honorarium payment.[BT7]CLICK HERE to access the W-9 template.
In addition, I would like to draw your attention to our CME speaker guidelines regarding content validation and safeguards against commercial bias. Click here to access our speaker guidelines.
Thank you in advance for meeting the time deadlines for the items requested. Your prompt reply will help to ensure a successful educational event.
Sincerely,
Updated December 2011Page 1 of 3
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This template is just a suggestion, feel free to modify the text to best suit your needs.
Once your speaker letter is updated for your meeting, we encourage you to simply copy all text (CTRL A) and then paste it into an email.
[BT2]Remove this if the speaker will not receive an honorarium.
[BT3]Remove if the speaker will not receive an honorarium.
[BT4]Insert your email address
[BT5]Insert your email address here or
[BT6]Remove if this statement does not apply to your event. This statement does apply to Medical, Pediatric, and OB/GYN Grand Rounds.
[BT7]Remove this if the speaker will not receive an honorarium.