Application to Join the Psychedelics & Pain Network (PPN)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The PPN is a connected network of researchers, HCPs, facilitators, patient advocates, companies and funders, who are leaders in the rapidly growing field of researching and utilizing psychedelic medicines for the treatment of chronic pain and inflammatory conditions.

PPN is built on the belief that increased connections and collaborations will benefit the individual work of participants, expedite our collective scientific progress, accelerate access to therapies that reduce pain, and reach a greater population of people who need help.

Joining the Psychedelics & Pain Network is free and does not come with any obligations other than to participate and connect with fellow Network participants.

Applications will be considered on a rolling basis and applicants will be notified.

Name *

Email *

Title/Role *

Affliation/Organization or Company You Work For *

Do you currently work with psychedelic substances professionally (ie: guiding, research, advising, advocating)?

Yes

Prefer not to answer

Clear selection

Briefly describe how you are driving progress in the areas of understanding/research or awareness/advocacy around psychedelics and pain management. *

Your Biography (copy and paste)

List any relevant publications you have been an author on that involved psychedelics for pain.

What type(s) of pain are you focused on?

Which psychedelic substance(s) and/or mechanism(s) of action are you focused on?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Clusterbusters.

Does this form look suspicious? Report

Forms