Health Innovation Intake

Help

Do you have an innovation that the Ministry of Health should consider? This intake form is a first step in accessing the Ministry of Health innovation process. The Ministry asks those submitting innovation ideas to the Innovation Hub to complete this form to help decide if this is something that the Ministry can support/explore, or if there is an organization/agency better suited for further conversation.
Missing or incorrect value

Submitter Information

Missing or incorrect value
Missing or incorrect value
Missing or incorrect value
Missing or incorrect value
Missing or incorrect value
555-555-5555 Missing or incorrect value
Missing or incorrect value
Missing or incorrect value150 word limit

Tell us about your innovation

Missing or incorrect value150 word limit
Missing or incorrect value150 word limit
Missing or incorrect value
150 word limit
12. Is your innovation currently being used?Missing or incorrect value
Missing or incorrect value150 word limit
Missing or incorrect value
Missing or incorrect valuee.g., VP
Missing or incorrect value
Missing or incorrect value
Missing or incorrect value150 word limit
Missing or incorrect value150 word limit
Missing or incorrect value
Missing or incorrect value150 word limit
Missing or incorrect value150 word limit
Missing or incorrect value150 word limit
Missing or incorrect value150 word limit
Please attach any supporting documentation and material
Drag files here or select files.
Remove File
Missing or incorrect value150 word limit
Missing or incorrect value150 word limit
Missing or incorrect value150 word limit
150 word limit

Collection Notice

Personal information on this form is collected for the purpose of the Innovation Front Door by the Ministry of Health, Strategy and Innovation Division under s. 26 (c) & (e) of the Freedom of Information and Protection of Privacy Act. Please be aware that any personal information you provide is stored in British Columbia at the Ministry of Health. For questions regarding the collection of personal information, please contact Kevin Samra, Executive Director, 1515 Blanshard St., Victoria, B.C., (250) 952-2346, kevin.samra@gov.bc.ca 

Optional: Keep a Copy for Your Records

If you want to keep a copy for your records, you can download a copy using the PDF button below.
HLTH 8120  2024/05/09
73495150e6d105784901b07dbb470e82447bbbeb
Confirm
Form Submitted
Review Form Validation Messages
Unable to complete action
Confirmation
Confirmation
Create link to share