INTEGRATE Sudden Hearing Loss RCT
[Form for trainee expression of interest]
Register your interest
Please use this form to register your interest in participating in the INTEGRATE-supported ISSNHL randomised controlled trial.
Data protection
By entering your details you are agreeing to the Trial Management Team using your data only for the purposes of communicating with you regarding trial. You can withdraw your consent at anytime.
ENT trainee site lead [first name, last name] *
ENT trainee site lead [email] *
Hospital *
Hospital (other)
Supervising ENT consultant and other interested clinicians
The following individuals have also expressed their interest in participating in the INTEGRATE-supported ISSNHL randomised controlled trial.

I confirm I have permission to share their details with the Trial Management Team who will use their data only for the purposes of communicating with them regarding trial. Consent can be withdrawn at anytime.
ENT consultant lead [first name, last name] *
ENT consultant lead [email] *
Optional additional TRAINEE [first name, last name]
Optional additional TRAINEE [email]
Optional additional CONSULTANT [first name, last name]
Optional additional CONSULTANT [email]
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