Research Feasibility Form

Thank you for your interest in obtaining data from the NHLBI National Myelodysplastic Syndromes (MDS) Natural History Study. Complete and submit the online form below with your research request details and the DCC will be in contact over email regarding the next steps in the process.

Please contact if you have any questions.

I. Investigator Contact Information


II. Research Details

Brief description of proposed research including key research question(s) (1500 characters). If applicable, please specify MDS Inventory Browser Query ID.

Query Bookmarks

Copy and paste all applicable bookmark IDs you may have generated from the Inventory Browser which highlight your cohort of interest and display the availability of resources to support your research proposal (e.g., 66e1076b3fddafa94c2323ca5h323xx)

Do you have access or planning to use additional data or patients beyond the MDS study that would strengthen your ability to address your research questions?
If "Yes", please specify:


III. Data Request Details

   A. Study Population (check all that apply):


   B. Data / Outcomes Requested (check all that apply):

Other study population characteristics or outcomes of interest not otherwise specified (e.g., demographic groups, comorbidities, etc.) (250 characters):