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
Submit
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