Evidence-based guideline for the assessment and management of polycystic ovary syndrome

Guideline consultation submission form(MS word)

Terms and conditions

You must accept the terms and conditions before proceeding to submission

Unless otherwise indicated, all submissions may be published on the Monash Centre for Health Research and Implementation and/ or the Centre for Research Excellence in PCOS websites. If you wish any information to be treated as confidential, please explicitly and clearly identify that information and outline the reasons why you consider it confidential. General disclaimers in covering emails will not be interpreted as a specific request or taken as sufficient reason for submissions to be treated conditionally. Submissions, including personal information identifying specific individuals, will be de-identified prior to publication.

Do you accept the terms specified above? ☐ Yes ☐ No

Section 1: Contact information
1.1 First name
1.2 Surname
1.3 Email
1.4 Retype email (to ensure accuracy)
Section 2: Submission type
2.1 Are you providing a submission as a representative of an organisation?
☐ Yes. Please complete sections 2.2 and 2.3☐ No. Go to section 2.4
2.2 What is the name of your organisation
2.3 What is your position in the organisation
2.4 If you answered ‘No’ at section 2.1, select the reason you are providing this submission
☐ I am leaving feedback as a consumer of PCOS services
☐ I am leaving feedback as a healthcare professional. What is your profession?
☐ Other. Describe your interest in the guideline
Section 3: Guideline feedback
☐ My feedback relates to specific recommendation(s) in the draft guideline (complete sections 3.1(a), 3.1(b), 3.1(c) and 3.1(d)
☐ My feedback is general and does not relate to specific recommendation(s) in the draft guideline (complete section 4.1(a), 4.1(b) and 4.1(c)
☐ My feedback relates to both specific recommendations and general comments in the draft guideline (complete sections 3.1(a), 3.1(b), 3.1(c), 3.1(d), 4.1(a) , 4.1(b) and 4.1(c)
3.1(a) What is the guideline recommendation you would like to comment on? (copy and paste the recommendation from the Summary of Guideline Recommendations document found at
3.1(b)Cite the relevant page number(s) in the draft guideline and technical report(both documents can be downloaded at
3.1(c) What is your comment?
3.1(d) Provide a brief justification for your comment
Do you need to provide additional comments related to specific recommendations in the draft guideline? Copy rows 3.1(a), 3.1(b), 3.1(c) and 3.1(d) (including the blank rows underneath each section) as needed and paste below this line.
4. My comment is general and does not relate to specific recommendation(s) in the draft guideline
4.1 (a) Cite the relevant page number(s) in the draft guideline and technical report (both documents can be downloaded at
4.1 (b) What is your comment?
4.1(c) Provide a brief justification for your comment
Do you need to provide additional general comments which are not related to specific recommendations in the draft guideline? Copy rows 4.1(a), 4.1(b) and 4.1 (c), (including the blank rows underneath each section) as needed and paste below this line.

Please email your completed submission form by 5pm AEDT 12 March 2018 to