Register as a Volunteer

Please register your interest in participating for clinical trials at Surrey Clinical Research Centre. The completion of this form will help in our selection process so please complete in as much detail as possible and we will get back to you. If you are currently unavailable, do register your interest in receiving information to join the participant recruitment database. You will need to register with us online to be able to take part in a clinical study.

 

You must be aged 18 and over to register for clinical trials.

Please note all registration details collected are encrypted and the data is protected.

Any symbols will not be accepted such as '&', please do not use these when completing the registration.

 

Application and Eligibility
Your name and contact details
Please give us your name and contact details, and ensure that you enter your phone number and your email address.
Your date of birth and gender
Your height, weight and BMI

Use this section to tell us your height and weight and calculate your BMI.

NB: You must complete this section.

Smoking
Contraception
Your medical details
Vaccinations
Please select any of the vaccinations you have received below
Previous Clinical Trials
If you have taken part in a clinical trial before, please tick the box below and provide details, including dates.
Where did you hear about us?
Declaration

How we use your personal information

Any information you provide which can identify you will be added to our Volunteer Database so that we can contact you to assess your suitability to take part in our clinical trials. All your personal information will be treated as confidential by the Surrey Clinical Research Centre and will be held and processed under secure conditions in accordance with UK and EU data protection laws. We may contact you about clinical trials by mail, email phone or SMS. If you do not wish to receive details about our services you can opt-out at any time by sending an email to crc-recruitment@surrey.ac.uk and your account will be deactivated and your record will be removed from the database.

If you take part in a clinical trial with us we may update your record with significant information that emerges from the study (e.g. medical diagnoses or medical history that is likely to affect eligibility for future trials).

You can update us with any changes to your details by emailing crc-recruitment@surrey.ac.uk.

You can find out more information regarding data protection by reading our privacy notice.

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