Services | Epilens Llc

About You

First name

Last name

Email

Phone

Company name

Position

Check here if you have worked with an Independent Epidemiologist or Statistical Consult before

About Your Project

Describe your project in 3 to 5 sentences. What do you want to accomplish?

Do you have a specific research question or hypothesis, or are you still defining the problem?

Is this project part of a larger study, grant, or initiative? If so, please describe the larger study.

Is there an IRB, data use agreement, or compliance framework already in place?

Yes

No

Other

About the Support You Need

Which best describes what you need? Select one from below.

EHR or medical records data extraction plan

Literature review or synthesis

Research translation for a non-technical audience

Technical writing or manuscript support

Study design or methodology guidance

Do you have a clearly defined scope ready to hand off? Please describe briefly.

Have you attempted this work already? If so, what happened?

About the Work Product

What does the finished work product look like? Select one of the options below.

Written report or brief

Research translation written to your specific audience

EHR or medical record data extraction plan

Manuscript draft or section

Slide deck or executive summary

Does the deliverable need to follow a specific format, template, or style guide? If so, please describe.

Will this deliverable be used for publication, litigation, policy, internal decision-making, or other? If so, please describe.

About Timeline and Budget

What is your target completion date?

Is this date flexible or fixed?

Flexible

Fixed

Do you have a budget range in mind? If so, please describe.

Is this a one-time project or potentially ongoing work?

Anything else