Fill in the form below to join the IPCRN.

Practice Name *

Practice Email *

Practice Address *

Your First Name *

Your Last Name *

Your MCRN *

Do you regularly use disease coding in your practice (e.g. ICPC2/ICD10) *

Yes

No

Would you like IPCRN to send you information on how to Code in your practice? *

Yes

No thanks

Is your practice computerised? *

Yes

No

If yes, what GP software vendor do use (Socrates, Helix PM, HealthOne, CompleteGP)

Are you happy to be contacted by the IPCRN team with regards upcoming research studies/audits that may benefit your patients?*

Yes

No thanks

Please tick you confirm you agree with the following: I understand that by submitting this form that I consent on behalf of my practice to voluntarily participate in IPCRN. I acknowledge that I have read and understood the Practice Information Sheet (found HERE) and agree to display it in my practice waiting room. I understand that I am able to withdraw at any time and can be withdrawn by IPCRN without penalty. *

I agree

The Irish Primary Care Research Network

The Irish Primary Care Research Network

Join the IPCRN

The Irish Primary Care Research Network

Fill in the form below to join the IPCRN.