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Clinical Practice Guideline Endorsement Request Form

For questions, please contact guidelines staff.

ORGANIZATION AND CONTACT INFORMATION:
ORGANIZATION AND CONTACT INFORMATION
GUIDELINE INFORMATION:
 
GUIDELINE INFORMATION
Guideline Relevant?:

 

Is the topic of this guideline relevant to the field of radiation oncology?

Relevant to radiation oncology?:
are they published in the guideline:
 

Were the disclosures of the participants reviewed and are they published in the guideline?

Were the disclosures of the participants reviewed and are they published in the guideline?:
systematic method used:

 

Was a systematic method used to search for peer reviewed literature?

Was a systematic method used to search for peer reviewed literature?:
If yes:

 

If yes:

inclusion/exclusion:

Is a description of the inclusion/exclusion criteria included in the guideline?

Is a description of the inclusion/exclusion criteria included in the guideline?:
recommendations are based referenced:

Is the scientific evidence on which the recommendations are based referenced?

Is the scientific evidence on which the recommendations are based referenced?:
Describe the methodology:
 

Describe the methodology used for developing the guideline.

Check all that apply.

 

Describe the methodology used for developing the guideline:
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Please upload your guideline:

Please upload your guideline and/or any additional materials
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