Healthcare provider resources – European Reference Network

This page has been created to enable our Healthcare Providers to submit information such as contact details, publication information and more, for inclusion on the network’s website via a series
of online forms which are available below.

Add or update healthcare provider information

These initial details won't appear on the website.

We want to be able to get in touch with an appropriate person if we have questions about the information recorded on this form.

We will only use this information if we need to get in touch with you about what you have sent us. We will not add any details left here to our mailing lists and it will not be shown on our website.

These contact details will remain with the rest of the information about the healthcare provider (HCP) and will only be deleted if they are superceded by more up-to-date information about the HCP or this entry is removed completely from the website.

Contact Name(required)

This information will not appear on the website.

Contact Email Address(required)

This information will not appear on the website and will only be used if we need to contact someone about this entry.

Contact Phone Number

This will not appear on the website

Consent for storage of Contact Information(required)

I agree to my contact details being stored

I am happy for my contact details to be stored alongside the information about this HCP.
I understand the contact details saved here will not be publically displayed on the website and will only be used with regards to the information sent via this form.

Information you submit below this point will be shown on the website.

If you are updating information please complete the fields below as thoroughly as possible as this information will over write the original.

Name of Healthcare Provider(required)

Full name of the healthcare provider, hospital or organisation.

Please fully complete the address as this will be shown on the website.

Street Address(required)

Address Line 2

City (or town)(required)

County or Area

Postcode or ZIP code

Country(required)

Email address

A general email address for the your organisation which will be used on the website

URL - website address

If completed this information will be available on the website

Telephone Number

The telephone number you would be happy to be shown on this website.

Is your Healthcare Provider listed in the CTSR?(required)

Yes

CTSR - Care and Trial Site Registry

What type of membership of this ERN does you healthcare provider have?(required)

Full member

Associate member

Information about your center(required)

Please provide a short description of your center and what it does.

Logo of your healthcare provider or organisation

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If you would like add a logo or replace an existing logo that is already on this website, you can upload it here. If we already have your logo showing on the website and you don't replace it here we will continue to use the one we already have.
Maximum size 2MB

Photograph of building or facilities

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If you would like add an image or replace an existing image that is already on this website, you can upload it here. If we already have your image showing on the website and you don't replace it here we will continue to use the one we already have.
Maximum size 2MB

Send us your information

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Add an event to our events page

Send us details about your event

Please fill out this form if you wish to list an event on our website. If you have any questions please contact us at info@ern-euro-nmd.eu. We may need to edit your information for space requirements or to conform to our website style.

Every effort will be made to include your event on the website in good time.

If we do not include your event on the website this does not constitute a value judgment of the event. It could be that it does not meet to our current needs or requirements.

Your contact details

Please leave your contact details here. It will only be used if we need to get in touch with you about what you have sent us. We will not add any details left here to our mailing lists and it will not be shown on our website.

We will delete (on a regular basis) old events (and your contact details) from our systems.

Your name(required)

Email address(required)

Consent to keep the above information

Do we have your consent to keep this information in case we need to get in touch with you about this event?(required)

Yes, I grant consent

We will only use this information you provide here to get in touch with you about this particular event.
Once we have added the event to our website then we will delete the information you have sent us from our database this includes your name and email address. If you would like your information deleted sooner than this please get in touch using info@ern-euro-nmd.eu

Event details

Information submitted in this section might form part of the event listing on our website.

Title of event(required)

Start date(required)

End date(required)

A short summary about the event(required)

Venue where event will take place(required)

Full address of where the event will take place

Country event will be held in(required)

Event or organisation logo

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Maximum size 5MB (Allowable file types jpg, jpeg, png)

Contact email address for event(required)

Event website(required)

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Submit a newsletter article

Please fill out the form below as completely as is possible to submit an article to be considered for inclusion in the newsletter.

Please provide us with your contact details which may be used to verify submitted content with you before it is uploaded but will not appear on the website.

Guidelines for article submission.

Please fill out this online form as completely as possible.

Please bear in mind that our newsletter recipients are located throughout the world. Your article should be of interest to as many people as possible.

We may need to edit your article for space requirements or to conform to our newsletter style.

Every effort will be made to include your article at the appropriate time. To enable us to do this, please send your submissions at least a week in advance of anticipated publication.

If we do not publish an article this does not constitute a value judgment of the work’s quality. It could be that it does not meet to our current needs or requirements.

Once the information you send us has been dealt with the information you have sent us on this form will be deleted.

If you have any questions please contact us at info@ern-euro-nmd.eu

Your details

Your name(required)

We need this information to possibly verify various aspects of the article you send us.

Email address(required)

Do we have your consent to keep this information in case we need to get in touch with you about this article?(required)

Yes

Newsletter article details

Title of Newsletter Article(required)

Full Newsletter Article(required)

Upload a photograph or logo here

Upload another photo or logo

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Maximum size 5MB - images (jpg / png) or PDF only please

Upload an agenda or programme here

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Maximum size 2MB - PDFs only

Anything else you need to tell us?

Does your article need to be in the newsletter before a specific date?
If so, please give us details and we will try our best to accommodate your wishes.

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Add a job vacancy information

Complete the form below as completely as possible so that we can consider adding a job advertisement onto our website.
Information sent to us via this online form will be seen as a request to add it on our website. We will try our very best to ensure that this request is fulfilled however, we always reserve the right to not to publish.

Contact information

Information in the this section will not be shown on the website and will only be used if we need to get in touch with you about your submission.

Once the application date has passed, we will delete the old job advert (and your contact information) as part of our routine maintainance procedures.

Contact name(required)

Email address(required)

Your Healthcare provider(required)

Please indicate which HCP the poster is connected with.

Other affiliation

Consent to keep the above information

Do we have your consent to keep this information in case we need to get in touch with you about this advertisment?(required)

Yes, I grant consent

We will only use this information you provide here to get in touch with you about this advertisment.
Once we have added it to our website then we will delete the information you have sent us from our database this includes your name and email address. If you would like your information deleted sooner than this please get in touch using info@ern-euro-nmd.eu

Information about the job vacancy

Information submitted in this section may be included on the network's website.

Job Title(required)

Organisation(required)

Job Description(required)

Link to further details

File upload (pdf)

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Further job details can be uploaded here
Maximum size 5MB - PDF format only

Email address

Who can be contacted about this vacancy

Closing Date for Applications(required)

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Add a publication to our website

Complete the form below as completely as possible so that we can consider adding a publication onto our website.
Only healthcare providers, individuals and organisations connected with the network will be considered.
We need you to include either a valid DOI or a link to the publication.
Information sent to us via this online form will be seen as a request to add it on our website. We will try our very best to ensure that this request is fulfilled however, we always reserve the right to not to publish.

Contact information

Information in the this section will not be shown on the website and will only be used if we need to get in touch with you about your submission

Contact name(required)

Email address(required)

Your Healthcare provider(required)

Please indicate which HCP the poster is connected with.

Other affiliation

Consent to keep the above information

Do we have your consent to keep this information in case we need to get in touch with you about this publication?(required)

Yes, I grant consent

We will only use this information you provide here to get in touch with you about this particular publication.
Once we have added the publication to our website then we will delete the information you have sent us from our database this includes your name and email address. If you would like your information deleted sooner than this please get in touch using info@ern-euro-nmd.eu

Information about the publication

Information submitted in this section may be included on the network's website.

Title of publication(required)

Full title of the publication.

All authors and affiliations(required)

Please list all authors and affiliations in the order - last name, first name and then affiliation.

Date of publication(required)

Journal(required)

Volume

Issue

Pages

Publication abstract text(required)

Is this publication freely available to everyone?(required)

Open source

Paid subcription needed

Is this article available as open source?

DOI number for article

If you have a DOI (digital object identifier) number please include it here.

Alternative link to article

If a DOI isn't available please include a valid link as an alternative.

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Add a poster to our website

Complete the form below as completely as possible so that we can consider adding your poster to our website.

Only healthcare providers, individuals and organisations connected with the network will be considered.

Information sent to us via this online form will be seen as a request to add it on our website. We will try our very best to ensure that this request is fulfilled however, we always reserve the right to not to publish.

Contact information

Information in the this section will not be shown on the website and will only be used if we need to get in touch with you about your submission.

We will not pass this information on to anyone else and it will only ever be used for its original intended purpose.

Contact name(required)

Email address(required)

Consent to keep the above information

Do we have your consent to keep this information in case we need to get in touch with you about this publication?(required)

Yes, I grant consent

We will only use this information you provide here to get in touch with you about this particular publication.
Once we have added the poster to our website then we will delete the information you have sent us from our database this includes your name and email address. If you would like your information deleted sooner than this please get in touch using info@ern-euro-nmd.eu

Information about your poster

Information submitted in this section may be included on the network's website.

Title of poster(required)

Full title of your poster.

All authors and affiliations(required)

Please list all authors and affiliations in the order - last name, first name and then affiliation.

Poster Abstract Text(required)

Your Healthcare provider(required)

Please indicate which HCP the poster is connected with.

Other affiliation

Where was the poster presented?(required)

Please tell us the meeting/conference and location

When was the poster presented?(required)

File upload(required)

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Only jpg, jpeg, png or pdf will be accepted with a maximum size of 12MB. Preferably the poster should be portrait in orientation.

Depending on the size of the file we may have to compress the image to allow it to be readily viewed on the website.

Do you have permission for the information shown on this poster to be made publicly available?(required)

Yes, I do

Please ensure that you have permission to allow the information in this poster to be shown publicly on our website.

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Add a presentation to our website

Complete the form below as completely as possible so that we can consider adding a network related presentation that has been given to our website.

Only healthcare providers, individuals and organisations connected with the network will be considered.

Information sent to us via this online form will be seen as a request to add it on our website. We will try our very best to ensure that this request is fulfilled however, we always reserve the right to not to publish.

Contact information

Contact name(required)

Email address(required)

Consent to keep the above information

Do we have your consent to keep this information in case we need to get in touch with you about this presentation?(required)

Yes, I grant consent

We will only use this information you provide here to get in touch with you about this particular publication.
Once we have added the presentation to our website then we will delete the information you have sent us from our database this includes your name and email address. If you would like your information deleted sooner than this please get in touch using info@ern-euro-nmd.eu

Information about this presentation

Information submitted in this section may be included on the network's website.

Presentation title(required)

Full title of presentation.

Your Healthcare provider(required)

Please indicate which HCP the presentation is connected with.

Other affiliation

Where was the presentation given?(required)

Please tell us the meeting/conference and location

When was the presentation given?(required)

File upload(required)

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Only ppt, pptx or pdf will be accepted with a maximum size of 12MB.

Depending on the size of the file we may have to compress the image to allow it to be readily viewed on the website.

We will not be able to include presentations that feature video due to file sizes and streaming requirements involved.

Do you have express permission to publish the information included in the presentation?(required)

Yes, I do

Please ensure that you have permission to allow the information in this presentation to be shown publicly.

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Submit an educational course for EURO-NMD endorsement

EURO-NMD Endorsement for Educational Activities

Please us this form if you would like your educational activity to be considered to be endorsed by EURO-NMD. Before completing this form we recommend you read the endorsement criteria by which the content of this form will be judged.

Your contact details

First name(required)

Last name(required)

Email address(required)

Consent to keep the above information

Do we have your consent to keep this information in case we need to get in touch with you about the information submitted on this form?(required)

Yes, I grant consent

We will only use this information you provide here to get in touch with you about this particular event endorsement.
If your event is endorsed we will add the information to our website. At this time, we will delete the information you have sent us from our database this includes your name and email address. If you would like your information deleted sooner than this please get in touch using info@ern-euro-nmd.eu

Training programme details

Information submitted in this section could be included on the website if this is endorsed by our network.

Title of event(required)

Which healthcare provider is organising this training programme?(required)

The main organiser or co-organiser must belong to an ERN

Start date(required)

End date(required)

A short summary about the activity you like to be considered for endorsement.(required)

Please note: Programme content should exclusively relate to the neuromuscular field

Venue where event will take place(required)

Please note to be endorsed the event needs to be held in a EU member state.

Country in which this event will take place(required)

Please note: Endorsement criteria stipulates that the venue must be in an EU member state.

Which EU member states are involved in this event?(required)

To qualify for endorsement status the event must be transnational involving two or more EU member states.

Please send us your logo

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Maximum size 2MB

Do you have a draft agenda/programme?

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Maximum size 4MB

Contact email address for this event(required)

Website address for event(required)

How many attendees are you anticipating?(required)

Please note: Your event should attract a minimum of 15 attendees

How many of these will be from a European Member State?(required)

Is this training programme a non-profit making venture as specified in the (required)

I confirm, we will not be making a profit on this event

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