National audit of the management of head and neck squamous cell carcinoma (HNSCC)
Registration form
Please register your intention to contribute data to the INTEGRATE National audit of the management of head and neck squamous cell carcinoma (HNSCC)

IF your MDT has multiple centres/trusts contributing to the same MDT, you can either:
1. Have one Consultant, Site Lead and Collaborator collecting for the whole MDT (in this case please specify the multiple sites that are involved in the MDT on the registration form below)
2. Have a Consultant, Site Lead and Collaborator collecting for EACH site that contributes to the MDT (in this case please submit multiple registration forms for each site)

By entering your details you are agreeing to the Project Management Team using your data for the purposes of communicating with you regarding this project, the outputs from this project and future similar projects you may be interested in. You can withdraw your consent at anytime.
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Hospital
Consultant site lead [first name, last name]
Consultant site lead [email]
Trainee site lead [first name, last name]
Trainee site lead [email]
Local collaborator/data collector [first name, last name]
Local collaborator/data collector [email]
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