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E-QIPS Initiative Request Forms

Please download the appropriate submission form and send it to along with and any supporting documents including tables, graphs, charts, images, or infographics.


An E-QIPS Guide or E-QIPS Work-in-Progress submission may include information or recommendations about certain drug uses (‘off label‘) that are not approved by the Food and Drug Administration (FDA), or about medications or substances not subject to the FDA approval process. AUA urges strict compliance with all government regulations and protocols for prescription and use of these substances. The physician is encouraged to carefully follow all available prescribing information about indications, contraindications, precautions and warnings.