Submitting a proposal is your first step to using the Health Data Platform’s services. Please submit your research proposal into the form below. Our team will be in contact after review of your application. Ensure the information provided is correct and appropriate. If you are unsure about our requirements please check in our FAQs page or contact us through our email healthdata@auckland.ac.nz

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Data Service Request Form

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If you would like to save a draft of your data service request form. You will need to log in as a user save progress and resume.

To Register as a user of this site please email healthdata@auckland.ac.nz

Research Proposals form

Section 1: General Information

(Please complete all required fields of the form)

Principal investigator Name

First

Last

Date (Form Created)

Principal Investigator's Email

Names of Analysts

Emails of Analysts

Name of Study

Trial Registration (Clinical Trials Only)

Linkage type (Please select one) Linkage type (Please select one)

Do you have ethics approval for your study? Do you have ethics approval for your study?

Type of Ethics Approval Type of Ethics Approval

Intended Type of Ethics approval Intended Type of Ethics approval

Estimated Date of Ethics Approval

Ethics Approval supporting documents

Maximum file size: 52.22MB

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