GLIMPSE Registration Form
Thank you for your interest in GLIMPSE (GLP-1/GIP receptor agonist Management in the Peri-operative SEtting).

If you would like to register to participate in GLIMPSE, please complete the form below and we will be in touch with the next steps.
Sign in to Google to save your progress. Learn more
1. Name *
2. NHS email address *
3. Grade *
Required
4. Name of NHS Trust at which you will be employed in October-November 2025 *
5. I would like to take on the role of Resident Doctor or Consultant Lead at my NHS Trust *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report