Our submission form will only take a few minutes to complete but responses will be lost if you navigate away from the form before clicking the 'Submit' button at the end.
You can give us as much information as you like but please don’t give any personal details on the form that might identify you or someone else (such as full names, dates of birth, addresses). If you do include any personal details, we'll remove them before before we send your submission to committee members.
If you have any questions, or if you find it difficult to fill in the form, please contact us and we’ll try to help. You might also find our FAQs useful, see our New medicines needing your views page.