Additional Documents for Medtronic Spinal Donation Requests
This page contains printable copies of Medtronic Spinal templates and certification statements. Please note: Any request submitted to Medtronic's Spinal business requires a signed copy of the certification(s) contained in the online form. Those signed copies can be scanned and uploaded to your request as an attachment.
Budget Form
Template containing budget information for a request.
Note: A budget template from your organization can be used instead of this template.
General Certification of Compliance
PDF version of the Certificate of Compliance.
Note: All requests to Medtronic’s Spinal business must include a signed copy of this certificate.
Spinal Patient Assistance Certifications
PDF version of the certifications found in the Spinal Patient Assistance Request form.
Note: All patient assistance requests to Medtronic’s Spinal business must include a signed copy of these certificates.
Spinal Mission Trip Certifications
PDF version of the certifications found in the Spinal Product Donation Request form.
Note: All patient assistance requests to Medtronic’s Spinal business must include a signed copy of these certificates.
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