Declaration of Interests

BAP requires a Declaration of Interests form to be completed by:

  • All BAP Council members
  • All those participating in a satellite symposium at the summer meeting
  • All those submitting an abstract for the summer meeting
  • All those participating in BAP Consensus Meetings
  • All those presenting in BAP CPD events

Please complete the following for the past 3 years (for the purposes of this form, a year runs from January to December):

denotes a required field.

Your Details

A first name is required.

A last name is required.

An email address is required. Invalid email format.

A phone number is required.

Primary Employment is required.

Please select the purpose for this declaration.

Questions

1. Have you, in the past three years, had patents or inventions from which you may derive personal benefit in the area of psychopharmacology?

Yes No Please make a selection.

2. Have you, in the past three years, had ownership or part ownership of a company with interests in the area of psychopharmacology? (This would include holding the shares of major companies in one's own name, or those of dependent family members.)

Yes No Please make a selection.

3. Have you, in the past three years, accepted a personal retainer from any company with an interest in psychopharmacology?

Yes No Please make a selection.

4. Have you, in the past three years, acted as a consultant to any company with an interest in psychopharmacology?

Yes No Please make a selection.

5. Have you, in the past three years, acted as an expert witness, either friendly or hostile, to any company with an interest in psychopharmacology?

Yes No Please make a selection.

6. Have you, in the past three years, held a research grant from any company with an interest in psychopharmacology?

Yes No Please make a selection.

7. Have you, in the past three years, had membership of the speakers' bureau for any company?

Yes No Please make a selection.

8. Have you, in the past three years, accepted paid speaking engagements in industry supported symposia?

Yes No Please make a selection.

9. Have you, in the past three years, accepted travel or hospitality NOT related to a speaking engagement?

Yes No Please make a selection.

10. Have you, in the past three years, recruited patients for industry-sponsored studies?

Yes No Please make a selection.

11. If there is anything else you feel it necessary to disclose, please provide details.

Once you have submitted this form you will be sent a confirmation email with all the details you have provided.

BAP is not responsible for the information provided by individuals who complete this form.
It is the responsibility of the individual completing the form to ensure it is kept up-to-date.