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Register without obligation

Register with ICON

Do you want to know now whether there is a suitable trial for you? Watch our trials.

When you register your interest, our team will review your information and connect you with trials that you may be eligible for.

Sie müssen Englisch oder Niederländisch sprechen, verstehen und lesen können, um an einer Studie teilnehmen zu können.

Name

First name*

First name*

Preposition

Preposition

Last name*

Last name*

Gender*

Male
Female

Date of birth

Tag*

Tag*

Monat*

Monat*

Jahr*

Jahr*

Address

Land*

Land*

Enter your address here.

Enter your address here.*

Street name*

Street name*

House No.*

House No.*

Postal code*

Postal code*

City*

City*

Contact details

Mobile phone number*

Mobile phone number*

E-mail address*

E-mail address*

I would like to be kept informed about potentially suitable trials via

Email

Email

SMS

SMS

Yes, I sign up for the general newsletter, which I receive a maximum of 4 times a year

Yes, I sign up for the general newsletter, which I receive a maximum of 4 times a year

Do you smoke?*

No
Yes

How much do you smoke? Select tobacco consumption

How much do you smoke? Select tobacco consumption

Do you have a medical condition?*

No
Yes

What medical condition(s) do you have and medicines do you use?

What medical condition(s) do you have and medicines do you use?

Are you currently under the treatment of a doctor?*

No
Yes

Please state why you are under the treatment of a doctor.

Please state why you are under the treatment of a doctor.

Length and weight

Height (in cm)*

Height (in cm)*

Weight (in kg)*

Weight (in kg)*

BMI

Do you have a question or comment?

Do not provide additional sensitive or medical personal information here.

Do not provide additional sensitive or medical personal information here.

Data protection

ICON plc is the data controller of the personal data, including health data, you choose to provide. We rely on your consent to use this information to identify potentially appropriate clinical trials for you and contact you about them.

You can withdraw your consent at any time, for example by contacting us through our contact form or by telling a member of our recruitment team when speaking with them.However, the processing of your information before withdrawing your consent remains lawful.

Additional information on how your data will be processed and how you can exercise your rights, can be found in our Privacy Policy.

Please confirm if you consent to ICON plc collecting and using your personal data for the above purposes. *

- Revised 9 december 2024

I agree*

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You will receive a confirmation of your registration at the specified e-mail address.

What happens after registration?

1

You will receive a confirmation email of your registration.

This confirmation will be automatically sent to you by email.
2

You will receive additional information

You will receive a few emails with information about participating in clinical trials.
3

Contact by phone about your registration

You can contact ICON to see if there is a clinical trials that suits you. You can also ask your questions.
4

Notifications of appropriate trials

As soon as there is a trial for you, you will receive an email or SMS.

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