INTEGRATE Sudden Hearing Loss RCT

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[Form for Consultant expression of interest]

Please use this form to register your interest in participating in the INTEGRATE-supported ISSNHL randomised controlled trial.

Data protection

By entering your details you are agreeing to the Trial Management Team using your data only for the purposes of communicating with you regarding trial. You can withdraw your consent at anytime.

ENT Consultant site lead [first name, last name] *

ENT Consultant site lead [email] *

Hospital

Hospital (other)

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