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Submit A Regional Research Project
Enter your research details below
Your Details (This information will not be published)
First Name
Surname
Email
Email
Contact Phone Number
Research Project Details (Please enter details about the health service/clinical research project)
Organisation/s: Tick all relevant health services involved in the research project.
Organization
Albury Wodonga Health
Ballarat Health
Barwon Health
Bendigo Health
Border Medical Oncology & Heamatology
Goulburn Valley Health
Grampians Health
LaTrobe Regional Hospital
Mildura Base Hospital
South West Health
Other
Please Specify
Research project commencement date:
DD slash MM slash YYYY
Project Stage
Completed
Ongoing
Title
Summary
Research project lead
Contact Person
Contact email
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