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Healthcare IT product innovation

You can enter now by completing the onscreen form below. Closing date for all categories is 16:00 on Friday 4 June 2010. If you have any problems completing the online form please email events@e-health-media.com or call our events team on 020 7785 6924/06.

Your details

Project title:
Name(s) of entrant(s):
Position:
Department:
Organisation:
Address line 1:
Address line 2:
Town:
Postcode:
Telephone number:
Fax number:
Email address:
Name(s) of organisation(s) entering:
Number of employees in the unit(s):
Name of the chief executive or managing director:
Project summary (up to 100 words):

Project information

When was the project or phase in a programme of work completed? (up to 20 words)
Describe the innovative features or elements of your product (up to 200 words)
Say how your product is proven to work in a UK healthcare setting (though it may be at pilot stage) (up to 200 words)
Describe how your product brings demonstrable benefits for users (up to 200 words)

Additional information

Where did you hear about the E-Health Insider Awards 2010 in association with BT?

Declaration and consent statement

On behalf of the organisation named, I understand and agree to abide by the rules of the competition and I authorise the organisers and sponsors to publicise our entry for the purpose of furthering the aims and objectives of this competition. In entering the competition, I also consent for E-Health Insider's editorial team to contact me to discuss the use of entry material for publicity purposes.
I consent to the use of my personal data by the members of the Awarding Consortium for the core use of running and promoting the E-Health Insider Awards 2010 in association with BT.

Organiser

E-Health Insider

eHealth Insider Awards 2010 In assocation with BT

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Healthcare IT product innovation

Organiser

Principal sponsor