Section 2 – Received Anything of Value
Have you received anything of value( including travel expenses and lodging) for attending events or speaking engagements or for any activities from healthcare vendors, business partners, manufacturers, professional organizations, or pharmaceutical companies?
* ◯ No * ◯ Yes
Please provide the name( s) of the organization.
Please provide the dates.
You may indicate if this is for a single date( ex. 01 / 01 / 2023), month( ex. January 2023), or date range( ex. 01 / 01 / 2022- 12 / 31 / 2022).
Please provide the description of the items received.
Please provide the actual or estimated value( rounded to the nearest dollar).
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