HealthAI 25 – Innovation Submission Form

HealthAI 25 – Innovation Submission Form

Ready to Be One of Florida’s Top 25?

Apply by July 20 for a chance to be selected as one of Florida’s 25 Most Influential Health AI Innovations and demo your solution live on August 9 in Tampa.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization / Institution*
Your Role *

Innovation Overview
Title of Your Innovation*
Stage of Innovation*

IdeaPrototypePilotMarket-Ready ProductAlready in Use
Describe Your Innovation (1–2 sentences) *
What Problem Does It Solve? (250 word limit)*
Who Are the Primary Users? *

Technology & Readiness
What Technologies Does It Use?*

AI/MLNLPPredictive AnalyticsImaging / Computer VisionWearables / IoTOther
Intended Outcome or Use Case?*
Pitch Deck or One-Pager (PDF Upload) *

Cancelof
Demo Video or Product URL (Optional)

Showcase Info
Has It Been Tested or Used in a Real Setting?*

YesNoPlanning to
Can You Attend the August 9 Showcase in Tampa?*

YesNoNot Sure Yet
Consent*

I understand that submission does not guarantee selection.I agree to have my submission reviewed by faculty, clinicians, and administrators
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