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Forms

On this page you can fill out the Account Request form (on-line). In addition, there are several forms for optimal use of ECARUCA, including the Declaration of Permission form which is available in several languages.

Form name description
Account Request form for on-line requesting an account for the ECARUCA database
Information Letter for informing the physician involved of the ECARUCA project
Detailed Information Request for requesting detailed information about a certain case
Declaration of Permission for receiving parents permission to publish data, keep in patient record
Einverständniserklärung for receiving parents permission to publish data, keep in patient record
Formulaire de Consentement for receiving parents permission to publish data, keep in patient record
Toestemmingsverklaring for receiving parents permission to publish data, keep in patient record
Declaración de Permiso for receiving parents permission to publish data, keep in patient record
Deklaracja zgody for receiving parents permission to publish data, keep in patient record
Saglasnost for receiving parents permission to publish data, keep in patient record