UNIVERSITY OF FLORIDA
COLLEGE OF MEDICINE
 

Acknowledgement Regarding College of Medicine
Guidelines for Screening of Financial Relationships
with Pharmaceutical Manufacturers

        I have read the College of Medicine Guidelines for Screening of Financial Relationships with Pharmaceutical Manufacturers.  By signing this Acknowledgement, I certify that I understand and will comply with the standards set forth in these screening guidelines and that I am aware of the avenues available for me to resolve any uncertainty as to these requirements.  Further, I promptly will report any potential violation of which I become aware to the College of Medicine Office of Research Affairs.
 
 
___________
      Date
__________________________________
     Signature
__________________________________
     Name (Print)
__________________________________
     Title

Please return this completed form to your Departmental Compliance Representative.  If you are not sure who your Representative is click here for a list of College of Medicine Compliance Representatives.
 
 




Return to Compliance main page        College of Medicine home page


Webmaster <ahagan@dean.med.ufl.edu>College of Medicine, Office of Compliance 
This page created August 30th, 1999.  Please read our disclaimer and permitted use statement