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Forms

On this page you can fill out the Account Request form (on-line) to get access to the database.
In addition, there are several forms for optimal use of ECARUCA, including the Declaration of Permission form which is available in several languages.

Form name description
Account Request form for on-line requesting an account for the ECARUCA database
Information Letter for informing the physician involved of the ECARUCA project
Detailed Information Request for requesting detailed information about a certain case
Declaration of Permission form To register parent's permission to submit genetic and clinical information to the ECARUCA database.
Please keep this form in the patient's record
Declaration of Permission
Toestemmingsverklaring
Einverständniserklärung
Formulaire de Consentement
Declaración de Permiso
Dichiarazione di consenso
Deklaracja zgody
Saglasnost
Declaration of Permission /
Termo de Consentimento