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3Appendix B
VANDERBILT UNIVERSITY MEDICAL CENTER
STUDENT/INSTRUCTOR HEALTH SCREENING AND PREREQUISITE CHECKLIST
This checklist must be completed with supporting documentation attached and returned
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Appendix B Vanderbilt University is a form used by researchers to disclose their financial interests related to research.
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Information such as financial interests, relationships with external entities, and any potential conflicts of interest must be reported on Appendix B.
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