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Request to Post Screening E-mail

If you are interested in having a screening tool posted on the ICARE website, please complete the following form. Submit the form and the screening tool in PDF format, along with any resources used in producing the tool or mentioned in the tool. Our ICARE Resource Review Committee will receive this information and make a decision regarding posting. Please see our site policy on practice tools for more information on the screening tool approval process or Contact Us.

Name of Tool:

Brief Description of the Tool:

Please list 3 references from current literature that support use of the tool:

Why do you recommend the use of this tool:

In what settings is the tool currently being used:

Is the tool proprietary: Yes No

If yes, who owns the copyright:

Has copyright permission been requested:
Please list contact and date. If permission has been granted, please attach license agreement and any wording to be used with posting.

Contact Information
Name:   
Position:
Agency: 
Email:    
Phone:   

Screening PDF: (click the Browse button to attach the alorithm in PDF format)

Other Tools/Resources Referred to in Development: (Please Attach PDF)