Creative Therapy Consultants Speaker Agreement

Please Complete the details below

SPEAKER agrees to provide the following information to Creative Therapy Consultants by predetermined date: 1. Course title 2. Abstract (limit 300 words) 3.An electronic copy of the PPT (to be used for webinar handouts) 4. 10 test questions and answers (minimum 3 scenario based questions) 5. Speaker Biography (limit 200 words) 6. CV (limit 2 pages) 7. Recent Photo/Headshot

Creative Therapy Consultants does not view interest in or affiliation with any corporate organization as implying bias or decreasing the value of your participation. In fact, having an interest in an organization does not prevent a speaker from making a presentation, but the audience must be informed of this relationship prior to the start of the activity and any potential conflict must be resolved.
 All planners, faculty, and content specialists for Creative Therapy Consultants must disclose to the audience any of the following: 
1. Relationship with companies who manufacture products or provide services used in the treatment of the subjects under discussion in the educational activity. 
 2. Relationship between the planner, faculty or content specialist and commercial supporter(s) of the activity. 
 3. Intent to discuss unlabeled uses of a commercial product, or an investigational use of a product not yet approved for this purpose. All information disclosed must be shared with the audience either on the program training portal, handouts, advertising and/or audiovisual presentation. 


Creative Therapy Consultants will disclose to all learners that a Speaker Honorarium was provided for each speaker. However, as a speaker, you must disclose any other program planners/instructional personnel that you have a relevant financial relationship if that relationship could influence the information presented in the course and could be perceived as a conflict of interest by learners.

Program Planners/instructional personnel have a relevant non-financial relationship if that relationship could influence the information presented in the course and could be perceived as a conflict of interest by learners.

I agree that it is my professional responsibility to ensure an accurate report of my disclosure(s). 
I attest that the information in this disclosure is accurate at the time of completion, and I agree to notify Creative Therapy Consultants (admin@neonatalcertificatio.com) of any changes to this information.

Creative Therapy Consultants takes great pride in its educational caliber and copyright infringement will not be tolerated. As a speaker with Creative Therapy Consultants you must adhere to the follow terms: Copies of PowerPoint presentation can be submitted as handout material and should include references and copyright holders as appropriate. If copyright permission for previously published material is arranged, please send a copy of the permission statement when handout is submitted. Creative Therapy Consultants retains the right to remove copyrighted text or images from handouts if proof of permission is not provided. As a Speaker, I hereby grant Creative Therapy Consultants permission to reproduce my materials (your name, title, handouts, references, objectives, abstract) for purposes of Creative Therapy Consultants continuing education opportunities. I will retain all ownership of my materials as the creator and author of my presentation. Representations: I hereby represent that 1) the content of my session(s) and handouts are my own original work to the best of my knowledge 2) the session(s) and handouts are accurate to the best of my knowledge 3) I have obtained all necessary permissions to reproduce or use any materials for which you are not the author or copyright holder 4) the session(s) and handouts will be educational in nature and do not include a sales pitch for any product or service 5) the session(s) and handouts do not contain any materials which are slanderous or disparage the products and services of any person or organization. Indemnification: I hereby indemnify and hold Creative Therapy Consultants harmless from and against any and all claims, expenses (including reasonable attorneys’ fees), and liability whatsoever arising, directly or indirectly, out of breach of the foregoing representations or your actions or inaction at, or participation in, the presentation(s).

Creative Therapy Consultants takes great pride in the high standards of professional conduct within our organization. To comply with our Professional Conduct policy, we ask that you act and speak in a professional manner and demonstrate high moral value. Similarly, you must have no discriminatory infractions, and if so please contact CTC to discuss. We require that you do not discriminate against participants based on gender, age, socioeconomic or ethnic background, sexual orientation, or disability. There is an opportunity for feedback by the learner to report any discrimination. Reviews, edits, or removal of the instructional material/instructor will be made as needed. I will conduct myself according to these Standards of Professional Conduct.

To comply with the Health Insurance Portability and Accountability Act (HIPAA), we ask that all CTC Team members, program planners and instructional personnel insure the privacy of their patients/clients by refraining from using names, photographs, or other patient/client identifiers in course materials without the patient's/client's knowledge and written authorization. A CTC Photo/Video Consent form can be provided to you as needed.

As part of our mission to provide education and mentoring to neonatal therapists, Creative Therapy Consultants will record all consented presentations via video/audio and capture associated visual materials for the benefit of neonatal caregivers everywhere. Creative Therapy Consultants will exclusively own the recorded webinar and test questions/answers provided. I understand that this release applies only to the material delivered during the Creative Therapy Consultants presentation and/or recording and does not prohibit me from using my own materials in any manner.