医疗广告审批表

医疗广告审批表

申请医疗机构名称(盖章)

湖南省卫生厅印制

Omega-shaped expansion bends. Valve installation location should be easy to operate, and taking into account requirements for wiring, maintenance, check the import and export orientation in accordance with system design or technical documentation requirements. Hanger roots should make full use of the existing structure of the beam or the soleplate, hanger rod when any movable parts and the angle between the vertical, rigid hangers shall not be greater than 3 ?, elastic suspension not greater than 4 ?. Process piping should be above the ground or platform gaps for insulation and supported by expansion bolts secure rooting. Valve and the more heavy component at support hanging frame installation Shi,

填表说明

1、一律用钢笔填写或打印本表。字迹不清或项目不全～不予受理。

2、“经审查合格的医疗广告作品文字内容及样件”一栏～表中填写不下可另附页～但须加盖省级卫生行政部门广告审批骑缝章～否则无效。其中文字内容包括影视、广播广告语言和文字内容。

3、电视医疗广告申请要求提交分镜头脚本～即画面、画面说明、旁白和字幕。

4、异地来湘的医疗广告申请人必须提交医疗机构所在地省级卫生行政部门原审批的广告证明原件、广告的医疗机构执业许可证复印件及有关诊疗科目医师的执业证、资格证复印件。

5、本审批表核发量视刊播审定的情况确定～其中审批机关需存档一份～报送

同级广告监督管理机关一份。

6、本审查表由省级卫生行政部门统一印制～各市、州,县,级卫生行政部门可

复制。

2Valve and the more heavy component at support hanging frame installation Shi,ting. an 4 ?. Process piping should be above the ground or platform gaps for insulation and supported by expansion bolts secure rooable parts and the angle between the vertical, rigid hangers shall not be greater than 3 ?, elastic suspension not greater thny movion requirements. Hanger roots should make full use of the existing

structure of the beam or the soleplate, hanger rod when ants for wiring, maintenance, check the import and export orientation in accordance with system design or technical documentatshaped expansion bends. Valve installation location should be easy to operate, and taking into account requireme-Omega

医疗机构名称

法定医疗机构执业许可证号代表人发证机关诊疗地点邮政编码

联系电话

拟定发布媒介

广告制作单位

广告涉及的诊疗科目

广告涉及的诊疗科目

及有关从业医师姓名、

技术职称

提供的有关证明资料及说明

3ging frame installation Shi,t hanor platform gaps for insulation and supported by expansion bolts secure rooting. Valve and the more heavy component at suppor gid hangers shall not be greater than 3 ?, elastic suspension not greater than 4 ?. Process piping should be above the groundl, rie of the existing structure of the beam or the soleplate, hanger rod when any movable parts and the angle between the

verticaexport orientation in accordance with system design or technical documentation requirements. Hanger roots should make full us g, maintenance, check the import andshaped expansion bends. Valve installation location should be easy to operate, and taking into account requirements for wirin-Omega

医疗广告内容(含广告制作文稿、画面说明，填写不完可另附页)

市、州或县级卫生行政部门(盖章) 初审意见

签名: 日期:

4Valve and the more heavy component at support hanging frame installation Shi,ting. an 4 ?. Process piping should be above the ground or platform gaps for insulation and supported by expansion bolts secure rooable parts and the angle between the vertical, rigid hangers shall not be greater than 3 ?, elastic suspension not greater thny movion requirements. Hanger roots should make full use of the existing

structure of the beam or the soleplate, hanger rod when ants for wiring, maintenance, check the import and export orientation in accordance with system design or technical documentatshaped expansion bends. Valve