Application to join the ABCD Worldwide audits and gain access to the audit tools

If you would like to join either ALL the ABCD nationwide dapagliflozin, canagliflozin and exenatide qw audits or just one audit and have access to the secure audit tools which will allow local analysis and storage of your own data as well as automatically providing the data in anonymised form to the worldwide audit, simply complete and submit the form below.

Please provide the following information:

Which Audits do you wish to join:
dapagliflozin
canagliflozin
exenatide QW
   
Title
 
Name
 
Designation (Professor, Doctor, Nurse, Trainee etc)
Hospital, Surgery, Town(*required)
 
Postcode / ZipCode
  (*required)
Country(*required)
If you are a hospital what is the name of the Trust
 
Your telephone number
 
Your email(*required)
 
Lead clinician name and title (*required)
Lead clinician telephone number
Lead clinician email(*required)
 
Are you a member of ABCD? (Non members may take part)       
   
Further information

 
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Association of British Clinical Diabetologists.
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Revised: 09/10/15.