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MITRAS Medical Advisory · Project intake

What would you like help with?

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Please leave out patient data, government identifiers, banking details and confidential research records.
Brief answers and estimates are welcome. Only questions marked * are required. Your answers save automatically in this browser. To continue later, return using the same link, browser and device. Avoid private browsing or clearing your browser data.

Contact name

Your role

Email

Phone number

Organization or practice name

Website

Principal city and province

Legal structure and location

Company, professional corporation, sole proprietorship, partnership, nonprofit, institution, unincorporated team or other? If incorporated, give the date and jurisdiction and say whether it is for profit. Where does the organization operate? For a research team, name the institution or organization that would hold the funding.

Ownership and team

Who owns or controls the organization? Note any parent, subsidiary or related organizations and any ownership outside Canada. Give the number of full-time and part-time employees, approximate full-time equivalents if known, and contractors.

Support you are looking for

Tell us whether you need help finding funding, assessing a project, preparing an application, managing an award or claiming research tax credits.

Does the project involve a university, research institution, student or postdoctoral researcher?

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