Med-Gemini Interest Form

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Thank you for your interest in exploring Med-Gemini. Please fill out this form to help us understand what your interest is. We will keep you updated as we progress with making parts of Med-Gemini available for research and experimentation.

This data will be used only for marketing-related communication. Data deletion or data requests can be made by emailing us at med-gemini-research-interest@google.com. I accept Google's Terms and Conditions (https://policies.google.com/terms) and acknowledge that my information will be used in accordance with Google's Privacy Policy (ttps://policies.google.com/privacy).

Email *

Record my email address with my response

Name of your organization
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Contact information (email address)
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Your role

Website

Organization location

Please describe your use case in a single sentence. If there are multiple, please submit more than one form.

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If you have a more detailed proposal, please enter text only information here.

Select the most appropriate category for your use case
*

Clinical Decision with Multimodal Data

Clinical Operations

Clinical Trials

Diagnostic aid

Report generation

Scientific Discovery

Treatment management

Treatment planning

Patient Engagement

Other:

If you selected, "Other," please describe.

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