Core Outcomes Sets Study
We will use the information you enter below to contact you regarding participation in the upcoming Core Outcome Sets study.
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Name:
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Comment:
Relation With Vasa Previa
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Please select a value
I had/have vasa previa
My family member had vasa previa
My partner had vasa previa
I'm a healthcare professional
Other, please specify in comments
Date of Vasa Previa Experience
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DD/MM/YYYY
Email Address
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First Name
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Last Name
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Country
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City (Optional)
Comments (Optional)
Designation
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Information Consent
I consent to sharing of my contact information with the Mt. Sinai hospital research team.