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Technology Transfer from the University of Oxford

Licensing Opportunities

Health Outcome Questionnaires

Licence Request
Health Outcomes Questionnaires

In order for Isis to prepare a copyright licence for the use of one of our Health Outcomes questionnaires we require certain information from you / your organisation. We therefore ask that you complete the following licence request form. A representative of Isis Innovation will contact you concerning your application.

The information captured by the completion of this web page will form the basis of a legally binding document, so please make every effort to ensure the information you are about to provide is accurate and correct.

Licence Request

Please complete all the boxes.

Licensee Details

Contact at the organisation taking the licence

Questionnaire and Trial Details
Questionnaire you wish to licence

Example: Information to include could be:
1) Study Number -
2) Study Title - e.g. multicenter, randomized, double-blind, controlled pilot study to assess efficacy and safety of [DRUG NAME] as a therapy in the treatment of patients with [disease]

e.g. 3 years or trial to finish June 2012

If you are not sure how many patients may be assessed during the course of your trial then please type don’t know.

If you are not sure how many questionnaires you may use during the course of your trial then please type don’t know.