ICNP Inactivate Concept Submission Form

  • Submitted by
  • Name of Submitter
  • Title/Position
  • Postal Address
  • Street
  • City
  • Province or State
  • Postal Code
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  • Fax Number
  • E-mail
  • Current Concept
  • Current Concept Description
  • Current Synonym(s) or related concept(s)
  • Reason for Recommendation to Inactivate Concept

  • Describe
  • Additional comments or information for reviewers and ICN: