optiTHERMM: UK Collaborator Sign-Up
Complete this form to sign up as a collaborator on the international optiTHERMM clinician survey.

We are currently accepting submissions from collaborators based in the UK.

Once we process your submission, we will send you a link via email to the official REDCap data collection form.

optiTHERMM Working Group
EMAIL: info@optithermm.org

VIDEO: https://youtu.be/oySDGTeZXV0
WEB: https://optithermm.org/
TWITTER: https://twitter.com/optiTHERMM (@optiTHERMM)
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First name *
Last name *
Email *
Hospital at which you are based *
Position *
Specialty *
Data protection statement *
We will store your name and email address for the purpose of contacting you about optiTHERMM. Your data will not be shared or used for another purpose. At the end of the study, your details will be erased. You can withdraw at any point by emailing info@optithermm.org
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