Note: All fields in Part A must be completed in order to be able to submit your request to CADTH.
What is the subject of your request (e.g. artificial intelligence in mental health, patient positioning during hemodialysis). *
What is the question you are trying to answer? If you have more than one question, list each separately. *
What does your question relate to? *
- Select - A drug A medical device A surgical procedure A non-surgical procedure A diagnostic procedure or test A non-pharma mental health intervention Other
Other (please describe) *
Which of the following best describes the type of information you need? If you’re not sure, select option “I don’t know yet” *
- Select - An overview of new or emerging technology. A summary of how other national or international jurisdictions are approaching or dealing with similar questions. A literature search or reference list. A high-level assessment of the available evidence. An assessment of a health technology—including clinical- and cost-effectiveness, and ethical, legal, or social implications. An assessment of a health technology AND recommendations regarding its appropriate use. An assessment of a drug class AND recommendations regarding its appropriate use. An assessment of the cost-effectiveness of a new health technology, with or without an economic analysis. A customized Technology Review. A presentation of relevant policy options. A method or guideline project promoting HTA methodology. A customized Literature search on topic(s) that do not fit into the technologies typically supported by CADTH. A tool to help inform or support your decision-making. A briefing note that describes a CADTH report or a specific topic. Assistance with using evidence to implement a policy or practice change. I don’t know yet, but I’d like to speak with someone from CADTH to determine what would be most helpful. Other (please specify).
Other (please describe) *
Provide requestor contact information. If you are submitting this on behalf of the requestor, provide that individual’s contact information.
Salutation
- None - Dr. Professor Mr. Mrs. Ms. Other
First Name *
Last Name *
Job Title *
Organization *
Organization Type *
- Select - F/P/T Health Ministry Health Authority Hospital National/Regional Health Care Program Other
City *
Province *
- Select - Ontario Quebec British Columbia Alberta Manitoba Saskatchewan Nova Scotia New Brunswick Newfoundland and Labrador Prince Edward Island Northwest Territories Nunavut Yukon Other
Email *
Telephone *
If you are submitting this on behalf of someone else, please provide your name.