DRAVET PLATFORM |

Request for a RESIDRAS account

Insert your details below to send the request. You will be contacted and provided with the login credentials to access the system.

Membership centre*

City*

Centre address*

Centre contact*

Contact phone number*

Doctor's surname*

Doctor's first name*

Email*

Email address at which we can contact you

Phone number*

Description of the centre’s activities*

Insert details of the role of the centre and the number of patients listed with Dravet Syndrome or other syndromes correlated with gene mutations SCN1A and PCDH19, indicating the number of patients with paediatric epilepsy monitored/ examined in one year.

I consent to the use of my data solely in response to this request

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The prerequisites of your request to become an ACCREDITED CENTRE, subject to the RESIDRAS committee, in accordance with the RESIDRAS rules shall be as follows:

To be a public structure of the National Health System, and/ or be accredited by or have an agreement with the National Health System.

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To obtain authorisation from your Ethical Committee.

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To agree to update patient information at least once per year

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