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AADB Data Request - AIM-AHEAD Data Bridge, MedStar Health Research Institute

Please complete this form to request a data consult or intake meeting


Please enter your full name:

Please enter your email address:

Please select a response:
Pre-Award: You are planning to apply for an AIM-AHEAD program Post-Award: You have received a notice of award for an AIM-AHEAD program
What is the name of your AIM-AHEAD program?:
Associated Hub or Core: [optional]
See the following link for a list of geographical hubs: https://drive.google.com/file/d/1i9nYlooAuwUmuJPW3hAk21FgB1CCL3HO/view?usp=share_link

Please enter the name of your institution::

Please enter your Project Name:
If you do not have a project name, please enter a placeholder and indicate (TBN)

Project Start Date:

Project End Date:

Please include a general description of your study protocol, including your specific aims:

Please include the required data elements for your data request; if you do not know yet, please respond "to be discussed":

Please provide any information here that could be useful in reviewing your request: [optional]