1 / 1

Disclosure of conflict of interest from : ……………………………………….. Consulting activities , governance functions , writi

Disclosure of conflict of interest from : ……………………………………….. Consulting activities , governance functions , writing of reports: No / Yes * Company ( ies ): …………………………………… Clinical test, other works , communication about promotion:

mateja
Télécharger la présentation

Disclosure of conflict of interest from : ……………………………………….. Consulting activities , governance functions , writi

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Disclosure of conflictof interest from: ……………………………………….. • Consulting activities, governancefunctions, writing of reports: • No / Yes* Company(ies): …………………………………… • Clinical test, otherworks, communication about promotion: • No / Yes * Company(ies): …………………………………… • Financial interest (shareholder): • No / Yes * Company(ies): …………………………………… • Link withpersonshavingfinancialinterest or involved in the governance: • No / Yes * Company(ies): …………………………………… • Reception of donations by an association that I amin charge of: • No / Yes * Company(ies): …………………………………… • Reception of fundsfrom an association I am in charge of and which has received a donation: • No / Yes * Company(ies): …………………………………… •  Holder of a patent, editor of a workused by the industry: • No / Yes * Company(ies): …………………………………… • * Delete the non applicable option

More Related