Clinical Trial Pharmacy 1 van 10 Volgende Your data Volgende Approval Volgende Design Study Volgende Medication Volgende Receipt Volgende Preparation Volgende Delivery Volgende Billing Volgende Contact Volgende Documents project.general_error_message Registration of your study You can register your study through this form. With the use of this form you grant the Clinical Trial Pharmacy access to your data. The Clinical Trial pharmacy deals with your data confidentially. We will not permit third parties access to the data, unless with your explicit permission. Please note that we operate separately from the research department. All the information requested in this form is required by the clinical trial pharmacy to process your study application. Contact (name) E-mail address Confirm e-mail address Telephone number Title of the study Protocol number Acronym (if applicable) Next step