How do I register?

If you are interested in clinical trials please contact us on 0800 634 1132. We are open between 8am and 10pm Monday to Friday. Or fill in the on-line registration form below.

We are based near London Bridge station. Click here to view a map.

Registration Form

To register yourself, or to recommend a friend, please complete this form:

* denotes mandatory fields

Title

First name*

Middle name

Surname*

Date of birth*
(eg. 01/10/1973)

Home Telephone

Daytime Telephone

Mobile Telephone

Address line 1*

Address line 2

Town / City*

County*

Post Code*

E-mail*

How would you prefer to be contacted?

Telephone E-mail Post Text Message

To recommend a friend, please provide their details:

Friend's name

Friend's e-mail address

Please note that we do not pay travel expenses for volunteers unless you are over the age of 60. In that instance reasonable travel expenses will be reimbursed.

How do I register?

Registration Form

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