Medicine in Specialist Schools

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Medicine in Specialist Schools - Registration

Please complete this form if you would like to be notified about new opportunities to participate in future research relating to medicine in specialist schools.

All data entered should be professional and not personal information as we are a network for professionals.

By completing and submitting this form you are confirming that you:

1. Agree to join the Regional Medicine in Specialist Schools (MiSS) Network
2. Would like to be notified about new opportunities to participate in research activity relating to MiSS
3. Give permission for your work email address to be used to notify you of new MiSS research
4. Consent to share your data within regional networks for MiSS purposes

Name *

Work Email *

Work Contact Phone

Job role *

School/organisation name *

School/organisation postcode

Local Authority

School type *

Governance type *

Health services hosted at the school/setting (please select any that apply)

School Nursing

Physiotherapy

Occupational Therapy

Speech and Language Therapy

CAMHS/Psychological Therapy

Other:

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