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SUPPLIER TRIAL REQUEST FORM for Ministry Of Health Funded Equipment Date: Assessor To Complete In Full and Fax to Selected Supplier Before The Trial Can Be Processed SUPPLIER: FAX : Tick here if pre-approval
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How to Fill Out MOH Form - Trial:

01
Start by downloading the MOH Form - Trial from the official website of the Ministry of Health.
02
Fill in the required personal information such as your name, address, contact number, and email address in the designated fields.
03
Provide your demographic details, including your age, gender, and nationality.
04
Next, provide information regarding your medical history, including any pre-existing conditions or allergies.
05
If you are currently taking any medications, list them in the appropriate section of the form.
06
In case you have recently traveled internationally, mention the countries you have visited and the dates of your travel.
07
If you have been in contact with anyone who has tested positive for any contagious disease, specify the details in the relevant section.
08
Finally, review the form thoroughly to ensure all the information provided is accurate and complete. Sign and date the form before submitting it.

Who Needs MOH Form - Trial:

01
Individuals participating in clinical trials conducted by the Ministry of Health or any affiliated medical institutions may need to fill out the MOH Form - Trial.
02
Patients who wish to be considered for experimental treatments or therapies as part of a trial may be required to complete this form.
03
Researchers and healthcare professionals who are involved in the trial may also need to fill out this form for documentation purposes.
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Moh form - trial is a form used for reporting trial-related information to the Ministry of Health.
All organizations conducting clinical trials are required to file moh form - trial.
Moh form - trial can be filled out online through the Ministry of Health's official website.
The purpose of moh form - trial is to track and monitor the progress of clinical trials for regulatory purposes.
Information such as trial protocol, participant demographics, adverse events, and study progress must be reported on moh form - trial.
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