Setup Trial

Fill in the form below to create the trial. All fields are mandatory. Before the trial is created, it will be sent to the system lead for verification. You may be contacted by email for more information.

Your Information

Full Name

Email Address

Trial Details

Title

Coordinator Info

REC / HRA Number

REC Approved?

Logo

Chief Investigator

Name

Email Address

Job Role

Phone Number

Hospital

Address

Hospitals

If several hospitals can take part in this trial, add another hospital using the button. For each one, specify its name and the details of its principal investigator.

Hospital 1

Hospital Name

PI Name

PI Email

PI Phone Number