Suggest a Horizon Scan Topic Home Suggest a Horizon Scan Topic Salutation (Mr. / Ms. / Dr.): First name: Last name: Title: Organization (please enter Patient or Public if you are a patient or member of the public): Province: Email (so that we may contact you if we need to clarify the topic further, or follow up): Phone (optional): Topic suggestion (please include, for example, the brand name of the technology [if there is one], and its intended use — for example, in preventing or treating a condition, screening for a disease, rehabilitation, or home care): Source of information (where did you hear about this topic?):
