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 Conflicts of interest form

  • All authors of manuscripts published in Annals of Clinical Neurophysiology must complete a conflicts of interest form as part of the manuscript submission process. The corresponding author is responsible for obtaining completed forms from all authors of the manuscript. The disclosure of a potential conflict of interest will not necessarily affect the probability of a manuscript being accepted for publication.
  • Examples of potential conflicts of interest are financial support from or connections to pharmaceutical companies, political pressure from interest groups, and academic-related issues. In particular, all sources of funding applicable to the study should be stated explicitly.

Manuscript Title

As the corresponding author,

  • ─ I declare the following information regarding the specific conflicts of interest of all authors of the aforementioned manuscript.
  • ─ On behalf of all co-authors, I certify that the answers to the declaration are accurate and truthful to the best of my knowledge.

Author Conflict (specify)


Corresponding author’s name and signature

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