SOROKA MEDICAL CENTER

BeWell.il

Hello.

This form presents an opportunity to collaborate with the innovation unit at Soroka Medical Center.

Your application will be sent directly to Soroka Medical Center, and they will contact you if your solution is relevant to their needs. We recommend you fill out as many details as possible, so they have a sufficient understanding of the solution you are presenting and what collaboration opportunities you can offer.

You may complete the form either in Hebrew or English If you have any questions or require assistance, please contact us here.

Good luck,

HealthIL team.

AccountID

Healthcare Challenge Topic:

General information

Company name:

Company website

First Name:

Last Name:

Contact e-mail:

Contact phone number

Short description (product, technology)

Startup demo video (optional)

How does your solution answer the challenge?

Product

Product stage

Product validation (accuracy, safety, etc.):

Clinical

Clinical rationale of your solution

Clinical validation: Please highlight your experiences:

IT and Information System

Does your technology uphold ISO?

YesIn processNoNot relevant for this product

Relevant IT requirements for operation (operating system, database, browser)

Business

Business model status

Please elaborate:

Funding stage

Pilot proposal

Please describe your pilot proposition for the collaboration:

With which departments/units would you like to collaborate?

Any remarks?

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Contact Information