Medicines and Healthcare Regulatory Products Authority

Innovation office enquiry form

Your query will be reviewed by our experts and you will receive an email response within 20 working days, depending on the complexity of the query and the availability of key experts and specialists.

About you

*Email address

* *

*Confirm email address

*

*Company/organisation name

*

*Job title

*

*First name or initial

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*Surname

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*What type of company or organisation are you?

* Other(please specify) box must be less than 100 characters long
Technology *Which technology area(s) does your innovation relate to?
* Other(please specify) box must be less than 100 characters long
Development stage

*Which stage are you at with the development of your project?

* Other(please specify) box must be less than 100 characters long
The product/innovation

*Please give a brief description of the product/innovation (max 2000 characters)

* Brief description must be less than 2000 characters long

*Please describe the mode of action and proposed therapeutic indications of the product (max 2000 characters) If not relevant, please state 'not applicable'

* The mode of action and proposed therapeutic indications must be less than 2000 characters long

*Please state your query (max 2000 characters)

* Query must be less than 2000 characters long
Declaration & Submission
Human verification test: What is TWO + FIVE
Sorry wrong answer, please try again

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Once you have submitted the form, a copy will be emailed to you as confirmation that we have received your enquiry.