Contact 1 — Étude Pirates-COV

Become a referral partner for the PIRATES-COV study!

Do you know someone who might be interested in participating? Please fill out the form below and we will follow up as soon as possible.

Name of the potential participant

Potential participant’s email address

Potential participant’s phone number

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What is your relationship to this person?

Authorization to transmit contact information

I confirm that I have notified this person that I am forwarding their contact information to the PIRATES-COV team

Your full name

Your email address

Your phone number

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This study was approved by the CIUSSS de l'Estrie-CHUS Research Ethics Board.