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Health Technology Assessment Application

Health Quality Ontario conducts health technology assessments that are evidence-based reviews on a variety of important health care services and medical devices. This includes, but is not limited to, medical devices, medical tests, genetic tests, surgical procedures, health care programs, and complex health system interventions, including models of health care delivery. These assessments also include recommendations on what should be publicly funded.

If you would like to submit a topic for a health technology assessment, please complete the following form.
 
This question requires a valid date format of MM/DD/YYYY.
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2. GENERAL INFORMATION *This question is required.
This question requires a valid email address.
DESCRIPTION OF HEALTH TECHNOLOGY
10. Is this technology licensed by Health Canada?
 
11. Is this technology being used in Ontario?
14. Is this technology being used in other Canadian provinces and/or other countries?
EVIDENCE SOURCES
15. Has Health Quality Ontario previously reviewed and made a funding recommendation about this health technology? Please check Reports and Recommendations for previous evidence reviews.
16. Do you know if another health technology assessment agency has reviewed this technology (e.g. Canadian Agency for Drugs and Technologies in Health, National Institute for Health and Clinical Excellence, etc)?
ADDITIONAL MATERIALS
17. If you have relevant information concerning the benefit of the technology, equipment, technique, or treatment strategy, please include it with your application.
This evidence may include, for example, published research or economic evaluations, patient or doctor experience/interviews, and/or manufacturer information. To include a hyperlink as part of your submission, paste it into a Word document and upload the document. Please do not submit personal health files.
If you have any concerns regarding the collection or management of your personal information, please consult Health Quality Ontario’s privacy policy. For any additional questions, please contact Health Quality Ontario’s Chief Privacy Officer by emailing privacy@hqontario.ca.