Intent To Participate in National Clinical Registry For COVID-19.
MoH&FW, ICMR, and AIIMS New Delhi are planning a National Clinical Registry for COVID-19 (NCRC) in Dedicated COVID-19 hospital and COVID care centers across the country. The registry will initially be started in 100 centers. The detailed protocol of the study will be shared with a site once a site is finalized after necessary approvals. If your institute is interested in participating in the registry, please fill the form.
Name of the institution?
State /union territory *
Identified as Dedicated COVID Hospital , Dedicated COVID Health Center
Clear selection
Number of patients COVID - 19 admitted in the hospital in the month of July?
Clear selection
Are there any ongoing COVID-19 related ICMR projects at your site?
Clear selection
If yes to previous question, kindly mention the title of the studies.
Nodal person identified by dean of the institution for this project. (Also the site PI). Please nominate a clinician (Internal Medicine, Pulmonology, Anesthesia , Critical care, and Infectious Disease) directly involved in COVID -19 patient care.
Contact No of nodal person.
Email I.D of Nodal Person.
Is there a COVID -19 follow up clinic at your hospital?
Clear selection
Statement of Expression of interest .
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy