ASSESS Platform

Assessor Request

Please provide the requested information to initiate your expression of interest to join the Assessor community.

Personal Information

Title

First Name

This field is required.

Last Name

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Email Address

This field is required.

Please insert valid email address.

Please briefly describe why you are interested in becoming an Assessor

Agree to Terms of Service and Privacy Policy

Must agree to the Terms of Service and Privacy Policy.

Qualifications and Experience

Please provide the requested information on your qualifications and relevant experience.

Qualifications

Primary Discipline

Other Qualifications

Experience

Years

Primary Jurisdiction of eHTA Focus

Other Jurisdiction

Professional Expertise

Please provide the requested information that identifies your areas of expertise.

Clinical Evidence

Clinical Practice

Economic Evaluation

Regulatory Affairs

Technology Focus

Precision Medicine

Publications

Please upload links to recent publications in which you are an author, selecting those most closely aligned with your area of expertise and interest.

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