H-Mod-Ex

Model Submission / Intake Form (CPT Model + SCF mapped)

Contact Information
Model Basic Information
Model Detail
Document Upload
Disclaimer and Signature

Contact Information

Fill out the submission form on this website.
All required fields are marked with an *
Person 1 will be the primary contact.
Other authors or contributors can be added later.

Person 1

First Name

Last Name

Affiliation

Person

First Name	Last Name	Affiliation	E-mail	Primary?

Basic Information

A comprehensive README file is REQUIRED.

Model Name / Project Title

First Developed

Last Developed

Modified Version?

Yes

Intervention Type

Software Used (name + version)

Is code annotated?

Yes

Licensing Restrictions

Detail

Please include detail.

Model Purpose

Primary Disease Area

Model Type

Country

Outcomes

Result

Conclusion

Any Additional Relevant Model

Document Upload

Upload your model’s related files. Click “Add More” if applicable. Executable files are not permitted
The model’s native code files and individual file uploads may not exceed 20MBs each.
If upload exceeds 20MBs, please contact us at (need address) for options.
Optional uploads/links include publications, posters, technical reports, or presentations applicable to your model.

Code File(s)

Choose File

Model Script(s)

Choose File

Data File(s)

Choose File

Validation Report(s)

Choose File

README FIle

Choose File

Licensing information

Our staff will review your submission to ensure that it is within scope for the platform, and that you have included all required information. Your model and code will be posted as a project on the ModEx™ Platform (website address to add). We will follow up via email when we have posted your model.

I have read and agree to the Terms and Conditions and Privacy Policy

Submit your Model

Contact Information

Basic Information

Detail

Document Upload

Licensing information