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APPLICATION FORM SUPPLEMENTARY CONSULTATION FOR SCIENTIFIC ADVICE An individual application form is to be submitted for each medical device incorporating one or several ancillary active substance(s).
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How to fill out application form supplementary consultation?

01
Start by reading the instructions carefully. Familiarize yourself with the purpose of the application form and any specific requirements or documentation needed.
02
Gather all the necessary information and documents before you begin filling out the form. This may include personal details, contact information, previous consultation details, medical history, and any supporting documents required.
03
Check if the form can be filled out electronically or if it needs to be printed. If it can be filled out electronically, make sure you have a PDF reader or any required software.
04
If the form is in a printed format, use a black or blue pen and make sure your handwriting is clear and legible.
05
Pay attention to the format of the form and any specific fields that may require certain information, such as dates, signatures, or checkboxes.
06
Start by entering your personal details accurately, such as your full name, date of birth, and contact information.
07
Provide any relevant details requested about your previous consultation, such as the date, doctor's name, and reason for seeking a supplementary consultation.
08
Fill in any medical history information required, accurately providing details of any previous or existing medical conditions, allergies, or medications you are currently taking.
09
If there are any specific questions or fields regarding your symptoms or concerns, provide clear and concise answers. Use additional sheets if necessary.
10
Review the completed form once again to ensure all information is correct and complete. Make any necessary corrections if needed.

Who needs application form supplementary consultation?

01
Individuals who have already had a primary consultation with a healthcare professional and require further evaluation or advice may need to fill out an application form for a supplementary consultation.
02
Patients who need a second opinion regarding their medical condition or treatment options can also be required to fill out an application form for a supplementary consultation.
03
People seeking specialized or specific expertise from another healthcare professional or specialist may also need to complete an application form for a supplementary consultation.
In summary, to fill out an application form for a supplementary consultation, ensure you carefully read the instructions, gather all necessary information, accurately complete the form, and review it for accuracy before submission. The need for an application form supplementary consultation can arise for individuals who require further evaluation, a second opinion, or specialized expertise.
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Application form supplementary consultation is a further form that contains additional information or clarifications for the original application form.
Applicants who need to provide additional details or explanations to support their original application may be required to file a supplementary consultation form.
To fill out the application form supplementary consultation, applicants should provide the requested additional information or clarifications in the designated sections of the form.
The purpose of the application form supplementary consultation is to ensure that all necessary information is provided and any uncertainties or gaps in the original application are addressed.
The application form supplementary consultation typically requires applicants to provide any additional information, explanations, or documentation that is needed to support their original application.
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