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Purpose

This form is to express your interest in becoming a participant in MHRA’s Patient and Community Forum. It will provide you with an opportunity to clarify:

  • what value you will bring to the Patient and Public Community 
  • the level of contribution you would be able to make and 
  • to improve transparency and help set your expectations of what being part of the community will entail.

This would also provide us with a ‘database’ that can be used to demonstrate the wider/extended benefits that the Patient and Public Community can offer to the MHRA (e.g. size of potential audience reach, level of authority/expertise in a given health condition/disease area).

Please read the Working Together Agreement and Data Privacy Notice before you complete the form.