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  • Program Activity Request Form (Applicable For)

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    shwetaakkanna05
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    This document is a program activity request form for a proposed continuing medical education (CME) event. It provides details about the event such as the name, venue, estimated costs, and purpose. It confirms that the purpose is to inform healthcare professionals, that no payments will be made to doctors for expenses or time, and that the hosting organization is credible and not owned by individual doctors. It also clarifies that any payments cannot be intended for individual doctor sponsorships and that Abbott will have no control over doctor selection for the event. The form requires initialing by the business unit head, marketing manager, and division controller as well as indication of whether the activity is budgeted.

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    This document is a program activity request form for a proposed continuing medical education (CME) event. It provides details about the event such as the name, venue, estimated costs, and purpose. It confirms that the purpose is to inform healthcare professionals, that no payments will be made to doctors for expenses or time, and that the hosting organization is credible and not owned by individual doctors. It also clarifies that any payments cannot be intended for individual doctor sponsorships and that Abbott will have no control over doctor selection for the event. The form requires initialing by the business unit head, marketing manager, and division controller as well as indication of whether the activity is budgeted.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    6 views1 page

    Program Activity Request Form (Applicable For)

    Uploaded by

    shwetaakkanna05
    This document is a program activity request form for a proposed continuing medical education (CME) event. It provides details about the event such as the name, venue, estimated costs, and purpose. It confirms that the purpose is to inform healthcare professionals, that no payments will be made to doctors for expenses or time, and that the hosting organization is credible and not owned by individual doctors. It also clarifies that any payments cannot be intended for individual doctor sponsorships and that Abbott will have no control over doctor selection for the event. The form requires initialing by the business unit head, marketing manager, and division controller as well as indication of whether the activity is budgeted.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    Program Activity Request Form (APPLICABLE FOR ) (Tick for appropriate answers) True care1 Proposed By: ____________

    (BU) ______________ (DIV) Date: _30/3/12_________________ cme Name of Institution: __________________________________________________________ Category of Activity : Medical Education Meetings / Classes organized by Abbott India not covered by Annual Approval Sponsoring third party organized scientific events or medical meetings involving Healthcare Professionals Supporting Patient awareness / welfare camps organized by Hospitals, clinics, third parties Participating Medical Meetings / Conferences organized by Doctors or their Associations

    Name of Meeting: __CME______________________________________________________ Venue of Meeting: hotel santosh gulbarga Estimated Cost of Activity : Rs _9000_________ Purpose of organizing the activity _for cefi l/non drs_____________________________________________________________________ Confirm the following (write N/A if not applicable): Purpose and focus of meeting is to inform Healthcare Professionals about products and/or to provide scientific or educational information. Payments are not made for expenses of Doctors / Health Worker attending the programme. Payments are not made to compensate Doctors for the time spent in attending the event. The Hospital / Institution / Society / Trust is a credible organization meaning that it must not be owned by one or two individual Doctors. This is to clarify that the Private Hospitals / Nursing homes, clinics etc. which are owned or controlled by individual Doctors are not recognized for the purpose of making contribution by Abbott for Continuous Medical Education (CME) etc. Payment to be made shall not be intended to be given or used to pay any Doctor/ Health Worker for his / her individual Sponsorship for any event. Abbott shall have no control over selection of any Doctor/s for attending such events like CME etc. organized by such Hospital / Institution / Trust or Society or any other third party Initiated by : ___________________ ___________________ Approved by: ___________________ [Name], Business Unit Head [Name], Marketing Manager [Name], Division Controller Is it Budgeted : Yes No

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