• Submit your application

    You can indicate your intention to submit one or more files for the Galenus Prize for Medical Devices 2023 (9th edition) by completing the form below. By clicking "save," an email containing a link will be sent to you, enabling you to revisit and finish this form at your convenience.
  • On the bottom of the ‘jotform popup window’ click on 'Skip Create an Account' when saving your application.

  • Application details

    Please specify the type of your application below
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  • Prix Galien - Application form

    Please fill out the details of your application below
    • Prix Galien - Application 1 
    • For more details on the criteria regulation click here for the extended regulations

    • Application file - English (pdf)

      • Please use Calibri font, 11 pt, 1.5 line spacing
      • Summarize the key characteristics of the medical device
      • Add a complete bibliography
      • Conclude with a statement (in English) why the proposed medical device is worthy of the Prix Galien
      • Include an explanatory list of abbreviations used
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    • Prix Galien - Application 2 
    • For more details on the criteria regulation click here for the extended regulations

      • Please use Calibri font, 11 pt, 1.5 line spacing
      • Summarize the key characteristics of the medical device
      • Add a complete bibliography
      • Conclude with a statement (in English) why the proposed medical device is worthy of the Prix Galien
      • Include an explanatory list of abbreviations used
    • Application file - English (pdf)

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    • Prix Galien - Application 3 
    • For more details on the criteria regulation click here for the extended regulations

      • Please use Calibri font, 11 pt, 1.5 line spacing
      • Summarize the key characteristics of the medical device
      • Add a complete bibliography
      • Conclude with a statement (in English) why the proposed medical device is worthy of the Prix Galien
      • Include an explanatory list of abbreviations used
    • Application file - English (pdf)

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    • Prix Galien - Application 4 
    • For more details on the criteria regulation click here for the extended regulations

    • Application file - English (pdf)

      • Please use Calibri font, 11 pt, 1.5 line spacing
      • Summarize the key characteristics of the medical device
      • Add a complete bibliography
      • Conclude with a statement (in English) why the proposed medical device is worthy of the Prix Galien
      • Include an explanatory list of abbreviations used
    • Browse Files
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    • Browse Files
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    • On the bottom of the ‘jotform popup window’ click on 'Skip Create an Account' when saving your application.

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