Best Practice Guideline Cycle Request Form

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DOC2842
Best Practice Guideline Cycle Request Form
EMQN Office
Genetic Medicine, 6
Floor, St Mary's Hospital,
th
Oxford Road, Manchester M13 9WL,
United Kingdom.
Tel: +44 161 276 6741
Fax: +44 161 276 6606
Email:
BEST PRACTICE GUIDELINE CYCLE REQUEST FORM
1. Date of request (use DD/MM/YY format):
2. Status of current guidelines:
None exist
Require updating
3. If current guidelines exist please insert name and main reasons for update in the box below:
4. If new guidelines are required please supply details in the box below, including as appropriate the
name of the disorder, or technology etc as appropriate:
5. Please insert your name and email address in the box below:
6. Other requirements:
a. Writing Group
Yes
No
b. Questionnaire
Yes
No
c. Workshop
Yes
No
7. Please add any other comments in the box below:
Please send completed form to Simon Patton at:
Important note: The complete history of this document including its author, authoriser(s) and revision date, can be found on Q-Pulse
CONTROLLED DOCUMENT – DO NOT PHOTOCOPY
European Molecular Genetics Quality Network (EMQN)
Document printed on 31/10/2016 11:06 by Simon Patton
Version 2
Page 1 of 1

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