Get New Procedure And Product Form

Filling out the New Procedure And Product Form online is a critical process for proposing new medical procedures and products. This guide provides a detailed, step-by-step approach to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the form and open it in the editor.
2. Begin by ensuring all questions are answered completely, especially those requiring approval from the Department Director.
3. Fill in the section for vendor and sales representative information, including names and phone numbers as required.
4. Provide details regarding the product, including name, description, manufacturer, projected annual usage, cost, and the objective for the product introduction.
5. Confirm whether your department has reviewed the request and if they recommend its approval by selecting the appropriate options.
6. Indicate whether there is a comparable product currently in use by answering yes or no, and provide information if applicable.
7. Complete sections regarding credentialing, such as confirming if the procedure is part of an existing privilege and if training is required.
8. Attach any supporting documentation that could assist the Value Analysis Committee in their review.
9. Review the conflict of interest statement carefully, disclosing any related information as needed.
10. Finally, ensure you provide your name, department, date, facility, phone number, and signature before submitting the form.
11. Once completed, save your changes, and download, print, or share the form as required.

Complete your documents online today to ensure an efficient submission process.