Health Innovation Intake Form

Eastern Health's Health Innovation Team (HIT) aims to partner with individuals and/or private sector companies to advance innovation in the health care system. The HIT also offers stand alone services to vendors and private sector companies interested in product research and development within the healthcare sector. To ensure a transparent intake process we ask that all innovators/individuals complete the following intake form. For your reference, our Research and Innovation website can be found here: https://ri.easternhealth.ca/innovation/ Eastern Health's strategic plan can be found on the Eastern Health website. . Any questions about innovation at Eastern Health or completion of this form may be directed to: innovation@easternhealth.ca

 

Affiliation, Company, and Request Description

 
 

If company not established, please indicate "N/A."

 

If company not established, please indicate "N/A."

 
 
 
 

Optional.

 
 

Company and Product Description, Services Required

 

3-4 sentences. If company not established, please indicate.

 
 

4-5 sentences.

 
 
 

To specify required services other than those listed below, type in blank space at top of dropdown list then click on the blue bar surrounding the text.