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Forms

Dear research participant,

If you would like to register for Pulmonary Research Registry (PURR), you may do so by following the instructions for one of the two options below.

1. Register online:

Complete PURR online registration form (PDF) and select ‘Submit’ at the end of the form, which will automatically email the form to PURR.

Note: If you experience difficulties with electronic submission, please verify that Adobe Acrobat Reader is installed on your device or try to submit using a different browser. Otherwise, download the print version of the form below and  send it by email.

2. Print and return by mail:

One copy of the PURR Consent Form (PDF)  and one copy of the PURR printable registration form (PDF), fill out the forms manually and return by mail to:

Pulmonary Research Registry
Firestone Institute for Respiratory Health
St. Joseph’s Healthcare Hamilton
50 Charlton Avenue East, Room 1152-1
Hamilton, Ontario, L8N 4A6