Protocol
Patients
Participant’s
Onboarding
Contact Us
Меню
Protocol
Patients
Participant’s
Onboarding
Contact Us
Protocol
Patients
Participant’s
Onboarding
Contact Us
Меню
Protocol
Patients
Participant’s
Onboarding
Contact Us
RISCC Participant Onboarding Form
You must first declare your consent to the Commitment Statement
First Name
*
Family Name
*
ID#
*
Email
*
Mobile phone
*
Office phone
*
Medical center
*
Date
*
I am an interventional cardiologist, dedicated to perform CTO procedures in my institution
I am in charge / participate in institutional CTO program, including a specialized CTO outpatient clinic
I perform 12 or more CTO attempts a year
I utilize Hybrid CTO approach including routine dual injections
Registry protocol have been approved by an ethical committee (Helsinki) in my institution
Informed consent
*
Maximum file size: 64 МБ
Send
By sending the form, I confirm that all the above data are correct and I ask to provide access to RISCC CRF