To request a medical education grant, please review the guidelines before completing this request form and submitting it to Cardinal Health Nuclear & Precision Health Solutions Medical Affairs at email@example.com. Cardinal Health’s receipt of this form does not imply a commitment to approve the requested support.
It is recommended that you submit your request 90 days in advance of your event to allow sufficient time to review and respond to your request. Please submit one form per event.
Please gather all documents prior to submitting your request. Those documents may include:
- Letter of Request (required)
- Agenda (required)
- Completed IRS W9 Form (required)
- Statement of Accreditation
- Copy of CME Provider’s Accreditation Certificate
- Copy of 501(c)(3) Letter
Any questions should be directed to Cardinal Health Nuclear & Precision Health Solutions Medical Affairs at firstname.lastname@example.org.