Register.

Each participant may submit as many solution proposals as they wish, to one or more of the challenges, independently of each other. To do so, please complete this form with the information required to describe each of these solutions.

*The maximum length of the text fields are 750 characters. Please be as concise and clear as possible with the description of your solution. If more details about the proposed solution are required, the organization will contact the representative of the proposal submitted.

Name of the company or initiative*
Type of organization*
Name and surname of the contact person*
Contact position*
Contact Email*
Contact phone number*
Which challenge are you applying for?*
Website / LinkedIn / Facebook / Twitter
What is your proposal to respond to this challenge?*


What region does your proposal focus on?*


Are you developing this solution in collaboration with a partner or institution?*
YesNo


If you marked "Yes" to the previous answer, please indicate with whom and what their involvement is


Names of the people involved in this initiative*


What is the current status of the proposed solution? Indicate if assets are immediately available to the healthcare ecosystem?*


Indicate the estimated time needed from the start of the project to its implementation and please indicate at which stage it is currently in*


What resources do you require to develop/integrate the solution?*


Attach any documentation you think is necessary:


If your documentation is very heavy (+ 50MB) use cloud storage, (wetransfer.com or similar), and share the URL