Notice of Missions Filling in Application Form “Accreditation Application Form for Medical Practitioners” and the “List of Drugs/Medical Products/Equipment”
Release time:2019-04-17 18:57:12    Source:7th CISM World Gamesfont-size:AAA

According to the regulations of the 7th CISM World Games, in terms of medical and health security, all Missions are required to fill in the form of “Accreditation Application Form for Medical Practitioners” and the “List of Drugs/Medical Products/Equipment”. Missions are requested to download the application form and send it to the designated E-mail box on time, to facilitate the organizing committee's examination and issuance of entry confirmation letters to delegations.

Appendix :

/uploadfile/2019/0417/20190417082216742.docx

Which of the following describes the situation of the medical personnel of the mission? ( )

A. The mission can send the medical personnel, but only for service to the mission itself.

B. The mission can send the medical personnel. At the same time, it will provide medical services for the missions of the following countries with their consent. The list is as follows:

                                                             

C. The mission does not send its own medical personnel, but has reached agreement with the following countries for medical services. The list is as follows:

                                                             

D. The mission has neither its own medical personnel nor medical services provided by other countries.

My mission warrants that:

1. The personnel applying for accreditation are the necessary medical personnel for the 7th CISM World Games.

2. The contents in the application form are true and valid.

3. The medical personnel applying for accreditation shall abide by all applicable laws and regulations in China (including occupational health and safety regulations), as well as all provisions, conditions and procedures of the 7th CISM World Games;

4. The medical personnel provide medical services only to their own missions or to those of the countries under the agreement.

5. The mission assumes all responsibilities for the medical services provided by the medical personnel dispatched during the 7th CISM World Games, bears the expenses related to the medical services provided, and compensates the Organizing Committee of the 7th CISM World Games or the International Military Sports Council (CISM) for any claims, liabilities, losses, damages and expenditures incurred by the medical services provided by the practitioners of the delegation (including expenditure on legal services).

Signature of the Chief of Mission or of the Secretary-General:

Position in Mission:                                                             

Date:                                                             

Notes:

1. Please fill in the form in Chinese or English. If you need more space, please adjust the size of the form by yourself.

2. For academic degree, please fill in undergraduate/master/doctor, etc.

3. For Practitioner’s Qualification Certificate NO. (or Professional Certificate), please fill in the form according to the management regulations for medical personnel in your country. If there is no such certificate in your country, it can be marked "not applicable".

4. For Scope of Practice, please fill in general/emergency/internal medicine/surgery/rehabilitation/physiotherapy/kinematics/dentistry/nursing, etc.

5. Certificates and qualifications of medical personnel shall be examined and confirmed by your mission.

6. The WORD file and a scanned copy of this application form with signature should be submitted to the mailbox designated as follows by July 18, 2019.

To: Division of Medical Services of Integrated Logistics Support Department, Executive Commission of the 7th CISM World Games

Address: No.95, Houhu Avenue, Jiang’an District, Wuhan City, Hubei Province, China.

Zip-code: 430030

Contact: Bo Chang, +86 18171500133

E-mail: zhbzb@wuhan 2019mwg.cn

Website: http://www.wuhan2019mwg.cn/

I declare that:

1. The items listed below are necessary for the members of our mission during the 7th CISM World Games, and are limited to the medical use of the mission or the mission(s) under the agreement.

2. All members of the mission are fully aware of the provisions on anti-doping and controlled items during the the 7th CISM World Games, and are fully responsible for the quality, safety, use, storage and damages of the items.

3. Our mission ensures that all unused items will be taken out of China after the Games.

Signature of the Chief of Mission or of the Secretary-General:

Position in Mission:                                                             

Date:                                                             

Notes:

1. Please fill in the form in Chinese or English. If you need more space, please adjust the size of the form by yourself.

2. The Types of Controlled Drugs include: (1) Prohibited drugs during the Games; (2) Drugs requiring application for Therapeutic Drug Exemption (TUE) during the Games; (3) Prohibited Drugs both during and after the Games; (4) Prohibited drugs for specific sports; (5) Specific drugs; (6) Drugs that attach or generate radioactive substances.

3. The WORD file and a scanned copy of this application form with signature should be submitted to the mailbox designated as follows by July 18, 2019.

To: Division of Medical Services of Integrated Logistics Support Department, Executive Commission of the 7th CISM World Games

Address: No.95, Houhu Avenue, Jiang’an District, Wuhan City, Hubei Province, China.

Zip-code: 430030

Contact: Bo Chang, +86-18171500133

E-mail: zhbzb@wuhan 2019mwg.cn

Homepage: http://www.wuhan2019mwg.cn/