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AltPAP prospective actor form
This form is meant to gather information from people intending to help with (AND NOT CURRENTLY DOING SO-see AltPAP global network form if this is your situation) working on, using, making, or contributing to the emergence and adoption of alternative clinical devices and equipment to respond to COVID19, including but not limited to the repurposing of snorkeling masks.
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Email *
Who are you? *
How do you intend to contribute? *
Do you allow us to share your answers with key actors needing your help (we might email them your answer for example but we will not post your answer publicly on our website or social media platforms)? *
Please describe briefly (but precisely) below what you are able to do to help, and if you have relevant experience in that area: *
Contact information: Name and surname (of person of contact) *
Contact information: website
Contact information: country and city of main operation *
If you contributed to the AltPAP documentation, please indicate which section(s):
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