Maccabi InstituteFor health Services Reaserch

* Research Topic:

Primary Investigator

* Name:

* Title:

* Institution:

Department:

* Address:

* Field of Expertise:

* Academic Position:

* Telephone:

Fax:

* Email:

* Location of research:

If there are additional researchers, please include personal information as above.

Please attach a 250 word abstract describing your research proposal with this form.
Include the following:
a. Background
b. Goals
c. Methods
d. Connection to focus areas defined in the RFP of the Research Institute
e. Potential contribution of the project's results to the goals of the Institute

* Date:

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