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Autor: Adnan • December 19, 2017 • 1,682 Words (7 Pages) • 559 Views
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______________________________
Name
Designation
Note: If any of the applicant’s answer to the question above is a “No”, then the activity is automatically denied.
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ANNEX “C”
- Gifts to Health Care Organizations (HCO)
- The item to be given is a medical utility. [If the answer is “N/A”, skip items A.1. to A.2. below.]
Yes _____
N/A _____
A.1. The value of the item is modest.
Yes _____
No _____
A.2. The item will benefit the patient or serve a genuine educational function for the HCO.
Yes _____
No _____
- The item is not a medical utility. [If the answer is “N/A”, skip item B.1. below.]
Yes _____
N/A _____
B.1. The item will benefit the patients which the HCO serves.
Yes _____
No _____
I hereby certify that our Compliance Officer has approved this activity. I further certify that the information provided above are true and correct.
______________________________
Name
Designation
Note: If any of the applicant’s answer to the question above is a “No”, then the activity is automatically denied.
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ANNEX “D”
- Giving Support/Sponsorship Directly to HCOs for their Seminars, Scientific Meetings and Third Party Conferences
- The event is being organized by a HCO and the Company is only providing support.
Yes _____
No _____
- The support/sponsorship to be given by the Company will not directly be given to a HCP. The Recipient is the HCO itself.
Yes _____
No _____
- The objective of the event is scientific or educational.
Yes _____
No _____
- The HCO has requested the Company in writing for support.
Yes _____
No _____
- All forms of support given by the Company is documented.
Yes _____
No _____
- The venue of this activity is not at an island resort.
Yes _____
No _____
- The venue of this activity is at a place which is usually used for meetings and conferences.
Yes _____
No _____
- The meals provided in this activity are modest (e.g., reasonably expected to be served also by other companies in the same or another industry).
Yes _____
No _____
- The Company will not provide any form of entertainment that would entail expenses during the entire duration of the activity.
Yes _____
No _____
I hereby certify that our Compliance Officer has approved this activity. I further certify that the information provided above are true and correct.
______________________________
Name
Designation
Note: If any of the applicant’s answer to the question above is a “No”, then the activity is automatically denied.
ANNEX “E”
- Giving Support/Sponsorship Directly to a HCP for Continuing Professional Development (Lectures, Seminars, Scientific Meetings, Symposia, Third Party Conferences, Conventions, Visits to Health Care Facilities with Technology Expertise)
- The purpose of the activity is to provide additional and updated scientific or education information to HCPs that can contribute to the improvement of patient care.
Yes _____
No _____
- The support/sponsorship to be given by the Company is not in exchange for the HCP’s prescription of the Company’s product.
Yes _____
No _____
- The Company will not provide any form of entertainment that will entail expenses during the entire duration of the activity.
Yes _____
No _____
- The sponsored activity is related to the work of the HCP.
Yes _____
No _____
- No sponsorship will be given to any member of the HCP’s family.
Yes _____
No _____
- The venue of this activity is
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