MTF COVID-19 Rapid Response Form
We are putting together a database of people/companies that will help make the innovation pipeline faster and more efficient. Our aim is to utilise this network to direct real solutions of COVID-19 clinical needs to the key stakeholders of the innovation pathway.

Please fill in this form if you/your company wishes to help facilitate medical technology innovation for the COVID-19 crisis.

If you would like to sign up for our Virtual Hackathon, please see our website and fill in the form.
http://medtechfoundation.org/hack
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Name of person filling in this form *
Contact email address *
Contact number *
Specialty *
Location *
Are you filling in this form on behalf of an organisation/department? *
Name of organisation/department (if relevant)
If you are filling in this form on behalf of an organisation/department, do you consent to be the main contact for your organisation/department
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If you answered "no" to the above question, please write the name and email address of the person who will be the main contact here:
What expertise can you/your company/organisation offer? *
What expertise do you/your company/organisation need? *
The MedTech Foundation (MTF) takes the privacy and security of individuals and organisations very seriously and we are taking every reasonable measure to protect and secure the personal data that we process. We will not pass on your information to third parties without your consent. By filling in this form you are agreeing to be contacted about the MTF Innovation Response Activity, including notification about when your services will be needed. You will not be contacted unnecessarily. *
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