Join the Primary Care Research Network of Primary Care Clinical Trial Unit (PC-CTU)

Full Name Full Name First Last
Email
Phone
Please indicate number of years in practice
Minimum of 1 characters required. Currently Entered: 0 characters.
Which of the following best describes your professional title?

Which of the following best describes your professional title? Specialist in Family Medicine (FM) General Practitioner (GP) Medical Specialist (Other) Medical Specialist (Other)
Do you work in a private or public healthcare institution?

Do you work in a private or public healthcare institution? Private healthcare institution Public healthcare institution Both private and public Other Other
District of your main clinic location
For “Other”, please specify district / location
Your main research interest(s) in primary care

Your main research interest(s) in primary care Mental health Pain Hypertension Disease prevention Other Other
Are you currently an Honorary Teacher at the Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong?

Are you currently an Honorary Teacher at the Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong? Yes No
Would you like to receive more information about becoming an Honorary Teacher?

Would you like to receive more information about becoming an Honorary Teacher? Yes No Maybe
Would you like to receive research-related training?

Would you like to receive research-related training? Yes No Maybe
Any additional information about you and your research, or any potential research topics for collaboration that you would like to share with us? (Optional)
Disclaimer The personal data collected will be used by CUHK-SPHPC Clinical Trial Unit and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.