The MDT©

Thank you for your interest in the Medication Discrepancy Tool©. There is no charge for use of this instrument. However, in order to track the interest and use of the measure for our funders, we ask that you complete the form below, indicating your name, e-mail address, institutional affiliation, and intended use/population.

We welcome your feedback. Please use the "Contact Us" link to the left or




Please note, items marked with an * are required fields.
Your Name: *
Your E-mail Address: *
Institutional Affiliation: *
Intended Use/Population: