HNSCCUP National Audit 2021 sign-up

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Registration form

Please register your intention to contribute data to the INTEGRATE HNSCCUP National Audit 2021, endorsed by the ENT UK Head and Neck Society.
Data from this audit will contribute to the Multidisciplinary Consensus Day on the 15th November in Gateshead.

You can check to see if your site has already signed up here: bit.ly/entintegrate.

More info here: www.entintegrate.co.uk/hnsccup

Hospital

Hospital (other)

Consultant site lead [firstname lastname] *

Consultant site lead [email] *

TRAINEE site lead [firstname lastname] *

TRAINEE site lead [email] *

Local collaborator/data collector [firstname lastname]

Local collaborator/data collector [email]

Data protection

By entering your details you are agreeing to the Project Management Team using your data for the purposes of communicating with you regarding this project, the outputs from this project and future similar projects you may be interested in. You can withdraw your consent at anytime.

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