Institut du Savoir Montfort

Researcher form

for patient-partner matching

If you are looking for French-speaking patient partners to join your research team, please provide the following information. Please note that this information will be shared with potential patients for matching purposes, i.e. to find the patient who best meets your selection criteria. We will send you the patient's name and contact information only when the patient has given his or her consent.

Researcher Information

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Please provide the contact details of the principal investigator:

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Project Information

maximum 300 words in simple language
Select all that apply
Consultation involves offering a video conference to ask specific questions about various aspects of your developing project and to obtain direct feedback from patient partners with unique perspectives and suggestions. Regular engagement can include a variety of different activities, which are at your discretion depending on the needs of your research project.
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dates and times
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Information on the patient(s) partner(s)

How many patient partners are you looking for?

Estimated time required for the patient partner (e.g., 3 hours per month for 6 months/or total time for the project)

Please indicate the characteristics sought in the ideal patient partner (check all that apply)