Medtronic Grant and Donation Request Forms

Medtronic promotes public transparency and has committed to disclosing its donations, including those made to U.S. healthcare professionals or healthcare organizations affiliated with those customers on the Medtronic public website.

In addition, Medtronic discloses all pertinent donations in accordance with applicable law, including the National Physician Payment Transparency Program: Open Payments (also known as the Sunshine Act), and similar state transparency laws. Learn more about Open Payments.

Note: Please submit one form per event.

  1. Before submitting a request, determine which type is most appropriate. Learn about our business units and the types of requests they accept
  2. Scroll down to the list below and choose the correct request form. A new page will open. 
  3. If this is your first time submitting a request, choose the “I’m a new online applicant” button.
  4. After signing into your account and entering the Tax ID, select the primary business from which you intend to request support. 
  5. Once you've completed and submitted the online application, a confirmation email will immediately be sent to your email address. Medtronic will review your request and make decisions based on compliance with Medtronic’s U.S. Business Conduct Standards, which are based on the AdvaMed Code and applicable law. The review process may take up to 60 days. Medtronic will notify you of the Grant Committee’s decision.

Request Attachment Templates

Please use the templates below if they are required on the request application. 


REQUEST FORMS

ATTENDANCE FOR HEALTHCARE PROFESSIONAL IN TRAINING (RESIDENTS)

ATTENDANCE FOR HEALTHCARE PROFESSIONAL IN TRAINING (FELLOWS)

The academic institution must apply on behalf of the healthcare professional in training. If a request is submitted directly by a healthcare professional in training, the request will be declined and the academic institution must reapply directly. Scholarships for HCPs in training are payable to the third party qualifying conference sponsor or the professional’s academic institution, not directly to the professional, and Medtronic does not participate in individual scholarship recipient selection.

If funding is approved to your institution and the funding applied to a physician, including a fellow, the funding is in scope for reporting to the National Physician Payment Transparency Program: Open Payments (also known as Sunshine Act). The physician's name will be reported along with the academic institution as required by Open Payments law. Funding applied to medical residents will not be reported, although if your institution is a teaching hospital, Medtronic will report the contribution made to your institution. Medtronic will provide funding for approved fellowship grants only after information identifying the individual recipient fellow(s) has been received.

CHARITABLE MONETARY GRANT

For charitable fundraising requests related to disease states treated by Medtronic therapies. The recipient, except in rare instances, must be a tax-exempt charity.

EXHIBIT FEE ONLY REQUEST

This selection is for requests where Medtronic is asked only to exhibit at a conference or other meeting venue.

FELLOWSHIP GRANT

Please select the link above to view more specific information regarding Fellowship grants.

HEALTHCARE EDUCATION GRANT WITH CME/CEU CREDITS

To support third-party scientific meetings and conferences, including grand rounds, related to Medtronic’s approved therapies and related disease states. This type of meeting or conference may be sponsored by either a for-profit or a non-profit organization. Typical sponsors include professional societies, universities, hospitals and CME providers. The event must issue CME/CEU credits.

HEALTHCARE EDUCATION GRANT WITHOUT CME/CEU CREDITS

To support meetings and conferences, including grand rounds and public education programs, related to disease states treated by Medtronic therapies. This type of meeting or conference may be sponsored by either a for-profit or a non-profit organization. Typical sponsors include professional societies, universities, hospitals and CME providers. Designed for events that do not issue CME/CEU credits.

IN-KIND PRODUCT DONATION

To request donated and/or loaned equipment for an In-Kind grant for a scientific or educational event, activity, or purpose.

docx RTG Product Donation Confirmation Template (.docx)

For use only with RTG In-Kind product donation requests

94KB

PRODUCT DONATIONS SUPPORTING NON U.S. TRIPS

To request donated devices for the treatment of indigent patients for surgeries scheduled outside of the United States.

RESIDENT/TRAINING LAB PERMANENT EQUIPMENT REQUEST

To request training lab equipment.

U.S. INDIGENT PRODUCT DONATION

To request a product donation for the treatment of indigent patients within the United States.


SCHOLARSHIP TO ATTEND SCIENTIFIC SESSIONS AT HEART RHYTHM SOCIETY (HRS)

This scholarship program is designed to support final year Electrophysiology (EP) fellows in accredited programs in the United States to attend HRS Scientific Sessions. If awarded, this scholarship is designed to provide funding for:

  • Round-trip coach airfare
  • Standard hotel accommodations up to five (5) nights
  • Meeting registration fees

Application Requirements:

  • The program director is required to nominate the EP fellow for scholarship.
  • In programs with multiple qualified fellows, a separate application must be submitted for each nominated fellow.
  • The electronic application must be received prior to the annual submission deadline.
  • Medtronic offers a limited number of scholarships based on the annual budget and number of qualified applicants.