RICOCHET 2 (Follow-up study): REDCap Login Registration

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Please fill out this short form to register for your REDCap account

Institution (please select from list below) *

What is your current role? *

Consultant

Trainee or fellow (FY/CT/ST etc)

Medical student

Specialist nurse

Research nurse

Other:

Title (e.g. Dr, Mr, Mrs. Ms etc) *

Please write your REDCap username in the following format 'first initial' then 'surname' then '.' then 'ricochet2' e.g. Tom Smith would be tsmith.ricochet2 *

First Name *

Last Name *

Email address (preferably NHS or trust) *

Thank you, we will send you you REDCap login in the 24-48 hours

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