IFDCTN
The International Federation of Dermatology Clinical Trials Networks

University of Nottingham

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Membership form

Please complete the below form to register your interest.

Name

First

Last
Job Title
Address

Address Line 1

Address Line 2

City

County

Postcode

Country
Hospital / Clinic
Phone
Email
Area of interest / specialism

Please state the skin conditions you have particular interest in
Clinical trials experience

Pleae state what experience you have in developing and/or participating in trials.
Clinical trials network in your country

Please state if there are any dermatology clinical trials networks in your country (either country or disease specific)
How would you like to be involved in the IFDCTN?

IFDCTN

telephone: (0)115 846 8621
fax: (0)115 846 8618