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ICNP New Concept Submission Form

  • Submitted by:
  • Name of Submitter
  • Title/Position
  • Postal Address
  • Street
  • City
  • Province or State
  • Postal Code
  • Country
  • Telephone
  • Fax Number
  • E-mail
  • New Concept
  • Synonym(s) or related concept(s)
  • ICNP Parent Concept (place in the terminology)
  • Concept Description
  • Use Case for New Concept
  • Scientific evidence (eg, literature review) supporting the new concept:
  • Citation 1
  • Citation 2
  • Citation 3
  • Continue as Needed
  • Validation Study:

  • Purpose of Study:
  • Study Design:
  • Sampling Procedure & Sample Size:
  • Findings:
  • Additional comments or information for reviewers and ICN: