Please fill in all of the information below. Enter N/A for the information that does not apply to you.
Requester's Contact Information :
PI's Contact Information
*If you are an MSc/PhD student, please have your Supervisor submit the request*
Current Stage of Project:
1. Applying for Funding
2. Designing Study/ Protocol
3. Data Collection in Progress
4. Data Collection Complete
5. Drafting Manuscript
6. Manuscript Revisions/ Responding to Reviewers
If this is a trainee project (e.g. Postdoc, medical resident, PhD/graduate student etc.), please check box
Do you plan to submit results from your project for publication in a journal or as an abstract to a conference?
Please tell us about your anticipated timeline for your project. Understanding your timelines allows Advancing Health to determine the feasibility of taking on your project and manage capacity with our teams.
Study Methodology and Statistics
Clinical Trial Management
To help us better understand the scope of your request and to ensure that you get the most out of your initial consult, please email a copy of your protocol or any other relevant documentation or background to
Please note, those requesting and receiving services must adhere to our institutional academic policies regarding research integrity including polices concerning authorship, should they apply. See relevant UBC link
and CIHR link