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Essay by 788521 • February 18, 2016 • Article Review • 1,789 Words (8 Pages) • 1,216 Views
APPROVAL SHEET
And COMPLIANCE UNDERTAKING
Please complete the corresponding Approval Sheet and Compliance Undertaking for your Program:
A. Activity Involving Giving Educational Items and Gifts to a Healthcare Professional (HCP) | Annex A |
B. Activity Involving Giving of Promotional Aids/Medical Utility to a HCP | Annex B |
C. Gifts to Health Care Organizations (HCO) | Annex C |
D. Giving Support/Sponsorship Directly to HCOs for their Seminars, Scientific Meetings and Third Party Conferences | Annex D |
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) | Annex E |
F. Activity Involving Medical Societies | Annex F |
*Healthcare Professional means any member of the medical, dental, pharmacy or nursing profession or any other person who, in the course of his/her professional activities, may prescribe, recommend, purchase, supply, administer or dispense a health product accordingly.
**Healthcare Organization means either a health care, medical or scientific associations, or organizations such as hospital, clinic, university or other institutions or learned society whose business address, place of incorporation or primary place of operation is in the Philippines or an organization through which one or more health care professionals or other relevant decision-makers provide services
ANNEX “A”
| |||
| Yes _____ | No _____ | |
| Yes _____ | No _____ | |
| Yes _____ | No _____ | |
| Yes _____ | No _____ | |
| Yes _____ | No _____ | |
| Yes _____ | N/A _____ | |
F.1. The rebate or discount will not be given to a doctor. | Yes _____ | No _____ | |
| 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 “B”
| |||
| Yes _____ | No _____ | |
| Yes _____ | No _____ | |
| Yes _____ | N/A _____ | |
C.1. The item is relevant to the practice of the HCP’s profession or education of the patients. | Yes _____ | No _____ | |
C.2. The item serves a genuine promotional or educational value. | Yes _____ | No _____ | |
| Yes _____ | N/A _____ | |
D.1. The item will benefit the patient or serve a genuine educational function for the HCP. | Yes _____ | No _____ | |
| Yes _____ | No _____ | |
| Yes _____ | No _____ | |
| Yes _____ | No _____ | |
| 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.
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