IIBHN Conference Disclosure

The Idaho Integrated Behavioral Health Network is proud to announce that the Fifth Annual Conference will be a virtual event taking place on April 7-8, 2022! We look forward to seeing everyone!

For approval of continuing education credit for Conference sessions, individuals need to disclose relationships with a commercial interest if both (a) the relationship is financial and occurred within the past 12 months and (b) the individual has the opportunity to affect the content of CME about the products or services of that commercial interest.

The disclosure form must be completed each calendar year by:

  • C-Who Board of Directors
  • Conference chairpersons
  • Conference Planning Committee members
  • Conference Proposal Review Team members
  • Conference session Presenters and Co-presenters
  • C-Who staff and advisors

Everyone involved in the creation and delivery of this activity must complete this site in order to participate.  It will only take a couple minutes to finish.

Before You Begin…

Your most current bio needs to be uploaded to complete this process.

SAVE a copy of your bio in a Word document and name it as follows:


Definition of Financial Relationships

Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honorarium for promotional speakers’ bureau, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit.

Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected.

ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Contracted research includes research funding where the institution gets the grant and manages the fund’s and the person is the principal or named investigator on the grant.

There is no minimum dollar amount for relationships.

Relevant financial relationships and conflicts of interest resulting from those relationships must be revealed to the audience and resolved prior to the activity. Persons refusing to disclose or resolve relevant relationships will be disqualified from being a part of this CME activity.

Definition of Commercial Interest

commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Providers of clinical service directly to patients are not commercial interests – (unless the provider of clinical service is owned, or controlled by, a commercial interest)

The following are NOT considered commercial interests:

  • 501-C Non-profit organizations that do not advocate for commercial interests
  • Government organizations
  • Non-health care related companies
  • Liability insurance providers
  • Health insurance providers
  • Group medical practices
  • For-profit hospitals
  • For profit rehabilitation centers
  • For-profit nursing homes
  • Blood banks
  • Diagnostic laboratories

There are 3 parts to completing the C-Who Disclosure.


Complete the form below to confirm your full professional name and role in planning for the IIBHN Conference.

Enter all required (*) information in the form below, click SUBMIT, then proceed to follow the instructions to complete Part 2.

Include your full professional name as it should appear in publication.

PhD, MD, PsyD, MSN, LMFT, etc.
Select All that Apply
This bio snapshot will go in the conference mobile app.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.


Cornerstone Whole Healthcare Organization, Inc. has contracted with Amedco to sponsor continuing education credit for the IIBHN Conference through a number of professional accrediting agencies. Amedco requires that all relevant individuals answer some questions and agree to several statements through its online system. They will also require that you upload your current bio in a Word document.

You will automatically be directed back to this page upon submission of the C-Who Disclosure form. Please use the relevant button below to complete your Amedco Disclosure(s).


If you have registered as a presenter at IIBHN 2022, please click below to complete your session information form:

If you are having any trouble completing these forms, please email iibhn2022@c-who.org.

raoulrolfes@c-who.orgConference Disclosure