Conflict of Interest Form

Patricia M. Speck, DNSc APRN FAAN
Primary Care/Public Health
University of Tennessee Health Science Center College of Nursing
pspeck@utmem.edu

Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Shelby County Drug Court Support Foundation Underserved Populations Advisory Committee/Board

Any company-sponsored training? No
 Any institutionally-contracted trials related to this submission? Yes
Have you received salary support, retainer, or other monies to support your position as part of the research/clinical trials? Yes
 Have you served as the Principal Investigator) for the research/clinical trials? Yes
 Have the results of your research/clinical trials been published? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.