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Invited Reviews request proforma

  • Your details
  • HCO contact details
  • Review request
  • Further information
  • Media contacts
  • Declaration
  • Complete

We recommend you read our information about the RCPCH Invited Review Service.
 

Your details

The information you provide on this form will be treated confidentially and will enable an initial assessment of the request for an invited review. We may get in touch to request a confidential discussion to enable further relevant information to be considered.

For completion by the chief executive or medical director of the healthcare organisation.
Name of healthcare organisation requesting a review
Primary contact name
Position held
Telephone number
Are you submitting a joint request?
Name
Position held
Telephone number
Email address
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.