NICE International Enquiry Form
Thank you for contacting the NICE International team. We will use the information you provide below to understand your enquiry and contact you about your requirements.
What would you like to do?
*
Please Select
Arrange an international speaking engagement
Arrange a knowledge transfer
Discuss NICE International consultancy services
Discuss permission to use NICE content
Receive updates about services, news and events from NICE International
Not sure
Have you spoken to anyone else at NICE about your enquiry?
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Yes
No
Please provide further details
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What are your objectives for engaging with NICE Advice? Please include details of any particular topics or areas you would like to cover in the engagement
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0/500
First Name
*
Last Name
*
Email Address
*
Phone Number
-
Area Code
Phone Number
Job Title
Job Role
Please Select
Academic
Admin, Clerical
Advocacy
Allied Health
Analyst, Information Specialist , Librarian
Business Development, Communications, Marketing
Clinical Management, Healthcare Management
Clinical Governance
Patient Safety
Commissioning
Councillor, Peer, MP
Education – Learner
Education – Provider
Health Economics
Market Access
Medical and Dental
Nursing and Midwifery
Patients, People who use services, Public
Pharmacy
Policy Development
Public Health Director
Public Health Practitioner
Quality Improvement
Research
Social Care Provider
Social Work
Unpaid Carer
Other
Organisation Name
*
Sector
Please Select
Academia, Education, Research
Advocacy
Charity
Third Sector
Voluntary
Arm’s-length Body
Consultancy, Digital
Medical Technology
Government
Healthcare
Patients, People who use services
Public
Unpaid Carers
Pharmaceutical
Public Health
Social Care – Adults
Social Care – Children
Other
Address Line 1
Address Line 2
Address Line 3
City
County / State / Province
ZIP / Postal Code
Country / Region
Are you making contact on behalf of a third party? For example, if you are a consultancy
*
Please Select
Yes
No
Please provide further details on the organisation(s) you are working with and the related countries
Ideally, how soon would you like the work to start?
Please Select
Immediate
This Quarter
Next Quarter
This Year
Unknown
Do you have funding in place to support this engagement?
*
Please Select
Yes
No
Submit
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