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About this form

  • Please use this form to help us to understand your innovation, and your progress to date.
  • Please do not disclose any unprotected intellectual property via this form.
  • Data from this form will be used to assess whether, and how, we are able to support you.
  • Your information may be shared across the AHSN network.
  • We will not share your information with other innovators or companies.
 

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