Blue LINC Clinical Problem Submission
This form is for submitting a clinical/biomedical problem that could potentially be addressed by a Blue LINC team. The more description of the problem, the better the team members can evaluate the need and make an informed decision for choosing a project.

If you have any questions, please contact us at info@bluelincsd.com, or visit our website bluelincsd.com.

Name *
Your answer
Affiliation *
e.g. hospital, university, company, etc.
Your answer
Department (if applicable)
Your answer
Email *
Your answer
Phone (optional)
Your answer
Problem Title *
Your answer
Problem description *
Please provide a summary of the problem and/or research opportunity that you have identified and any relevant background information.
Your answer
Have you or your colleagues worked on solving this problem? *
If you answered "Yes" to the previous question, please explain.
Your answer
Do you have any existing funds for supporting Blue LINC research on this problem? *
Has this problem/idea been publicly disclosed? *
If you answered "Yes" to the previous question, please explain.
Your answer
Are you interested in being involved in any of the following capacities? *
Required
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