Request to join | Parkinson's Disease Research Exchange Consortium

Instructions

In order to become a member of the Parkinson's Disease Research consortium, you must sign and upload a membership agreement. Please use the following link to download the membership agreement. Once signed, please upload through this form and submit for review by the PDRx team.

Download Membership Agreement

If you are affiliated with an industry group, please email the PDRx email at [email protected], as we will be able to offer your company an entity agreement.

Sign up with your authorized domain address

Or request an invitation

* Required fields are marked with an asterisk

First name *

Last name *

Primary email *

Career

What is your current career stage? *

Membership Affiliation *

Current institutional affiliation (please include the full name of your institution: ex. The Michael J. Fox Foundation). *

Research Interests Targets *

Signed Membership Agreement *

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I give consent to PDRx Consortium to use this information to build a profile when my request is approved. *