AIC 2025

Registration

Please submit your application using the form below. Our team of administrators will review your submission.

Please allow 1–2 weeks for vetting once a complete application is submitted. Incomplete applications may take longer to process, so we recommend reviewing the requirements carefully before submission.

If you need any support or have questions, feel free to reach out to us at exhibiting@ifm.org. We’re here to help!

Basic Information

Company Name *

Brand or Booth Name *

*Is your brand and/or booth name different than your company name? Please provide the brand/booth name that will appear on the promotional materials.

Website URL *

Social Media Link - Facebook

Social Media Link - Twitter

Social Media Link - LinkedIn

Social Media Link - Instagram

Company Address *

Primary Contact *

Primary Contact Title *

Primary Contact Email *

Primary Contact Office Phone *

Billing Contact *

Billing Contact Title *

Billing Contact Email *

Billing Contact Office Phone *

Authorized Signer *

*This person is authorized to sign contracts on behalf of your company.

Authorized Signer Title *

Authorized Signer Email *

Authorized Signer Office Phone *

What is your Taxpayer Identification Number (TIN) or Employer Identification Number (EIN) Number? *

Primary Business Category *

Annual Revenues *

Year Founded *

Number of Employees *

Indicate any financial or contractual relationships with IFM Educators or Staff or Board Members *

*(name and role with company)

Please see our list of educators for reference: https://www.ifm.org/educators

*Right click link and open in a new tab

Compliance *

*In the past five years, has your organization been cited, disciplined or identified by a regulatory body or in a public forum for unsubstantiated claims, conflicts of interest, or other citations that relate to reputational risk?

If you selected yes please explain including dates and resolutions

Is your organization currently the subject of any legal proceedings *

If you selected yes please explain

Regulation *

*By which regulatory agencies or organizations are you reviewed, accredited, certified, or regulated by, if applicable? Please indicate required vs optional.

Please provide a brief description of the products or services you plan to offer to our audience *

Will you be selling any products or services at your booth? *

If you selected yes please list which products and their respective price ranges

If you selected yes what is your return policy

What activities will you be conducting at your booth? Please be specific

*Disclaimer: If activities at your booth include lab testing, tests with rapidly available results and tests administered via venipuncture are not permitted. At home test kits are permitted, such as using single-use lancet, saliva, or cheek swab. Collections are not to be taken within the exhibit hall, but patients must be asked to collect the sample in the privacy of their room and return it to the lab company. All testing activities must adhere to local laws and regulatory requirements, and samples should be managed to maintain patient privacy/HIPAA.

Will you be providing any hands-on treatment or services onsite *

If you selected yes please describe

Do you provide informed consent to the attendees *

Do you have a picture or sketch of what your booth has looked like at other events?

Please list the company titles and professional certifications of your tentative on-site exhibit booth staff

Do you advise practitioners to bill insurance for use of your products or services? *

Provide evidence for explicit claims and asserted clinical benefits *

*Please provide URLs from your website or other method by which practitioners may access this evidence.

For proprietary products, devices, or unique clinical services only.

Provide evidence to support claims regarding any unconventional uses of commonly available products *

*Example: Vitamin D supplementation for male-pattern hair loss

Products or services or devices that may cause loss of function or quality of life must be transparently disclosed *

*If applicable, provide a sample of practitioner or customer-facing documentation that explains the risk and any risk management strategies.

For Genetic Testing companies provide a sample of the evidence used to support genotype or phenotype associations and treatment recommendations

*Example: A sample patient-facing report with evidence.

For Clinical Laboratories provide human evidence to support explicit claims for proprietary assays

* 1. The evidence should discuss clinical relevance (or relevance as a marker of dysfunction) for the given application. 2. Provide human evidence to support explicit claims for unconventional uses of commonly available assays.

Example vitamin D testing as a marker of hydration status.

Who is the targeted buyer of your product or service? *

Check all that apply

Please provide the URL from your website that describes your practitioner education and or customer support services *

Please indicate your interest in the following *

Select all that apply

How would you add value to the educational experience of the IFM practitioner community? *

What outcome would need to be achieved for engagement with IFM to have been a success for your company? *

On behalf of my company we have read and acknowledge IFMs DEIB Commitment Statement *

*IFM seeks to work with others who share a commitment to diversity, equity, inclusion and belonging and advancing health equity. We encourage non-profits, small businesses (<100 employees), women-owned, LGBTQIA-owned, minority-owned, and other to apply.

Our Mission, Vision, and DEIB Commitment

*Right click link and open in a new tab

On behalf of my company we have read and are able to adhere to IFMs Code of Ethics for Exhibitors *

Exhibitor Code of Ethics

*Right click link and open in a new tab

On behalf of my company we have read and are able to adhere to IFMs Code of Conduct *

IFM's Code of Conduct

*Right click link and open in a new tab

By entering my name below I understand that IFM will review applications against the criteria and has ultimate discretion of who is approved *

First Name *

Last Name *

Email *

My Cart

Registration

Basic Information