Nomination form for Active Member for the Natural Health Products Program Advisory Committee
The Natural Health Products Directorate (NHPD) has changed its name to the Natural and Non-prescription Health Products Directorate (NNHPD) subsequent to its recently expanded mandate to include the oversight of non-prescription and disinfectant drugs in addition to natural health products (NHPs). Please note that we are currently modifying documents to reflect this change.
Thank you for your patience and understanding.
Section 1: Nominee Information
Prefix (Mr./Mrs./Ms./Dr.)
First Name
Last Name
Company/Organization
Department/Division
Title or designation, if applicable
Street Address
City
Province
Postal Code
Telephone
- Work
- Cellular
- Other (please specify)
Facsimile
- Work
- Other (please specify)
E-mail address
- Work
- Other (please specify)
Preferred language for future communications
- English
- French
Section 2: Nominee Areas of Representation
A. Network or Association, check all that apply
A network is defined as an "association of independent individuals, organizations and/or communities of interest whose primary purpose is forming a strong community in order to gain strength and perform as a significant player in relation to current market situations."
- National
- Provincial
- Regional
- Other (please specify)
B. Sector, check all that apply:
- Patient and Consumer Group
- Industry
- Health and Regulatory Sector
- Research/Academia
- Retail
- Other (please specify)
C. Represented Enterprise, check all that apply
- Small/Medium
- Large
Page details
- Date modified: