Illawarra Health and Medical Research Institute (IHMRI)

Register your interest in clinical trials

Thank you for your interest in clinical research and trials at the Illawarra Health and Medical Research Institute (IHMRI). We rely on your support and interest to help investigate the important health challenges facing our community. Advances in medical research cannot continue without this support.

If you are interested in receiving information about future research and clinical trials, you can register your interest by completing the
form below. All information will remain strictly confidential.

Please note: Expressing your interest does not commit you to taking part in any trial now or in the future.

Most information on the form below is required to register your interest. Before you click submit at the end of this form you will need to
read the ‘Conditions of Expressions of Interest’ - below.

Register your interest here

Items marked with an *asterisk are required.

*Title:
*Given Name(s):
*Surname:
*Street Address:
*Suburb:
 Please note: Expressions of interest are limited to the Illawarra region (Wollongong, Shellharbour, Kiama, Shoalhaven and Wingecaribee local government areas)
*Postcode:
*Age:
*Best Contact Number:
Other Contact Number:
*Email Address:
*You will be notified of all trials that may be appropriate for you, however please indicate areas you are most interested in:





How did you hear about clinical trials at IHMRI?
What interests you about being involved in our clinical trials?

By submitting this registration, you agree to receiving information about the clinical trials IHMRI is conducting. 

You may also wish to receive other information about our research and events. If you do not want to receive this information, opt out by ticking the box below.
I do not wish to receive quarterly email newsletters and other correspondence from IHMRI from time to time

Conditions of Expressions of Interest

  • Expressions of interest are limited to people living in the Illawarra region. The postcode range is based on that of the Australian Bureau of Statistics Illawarra statistical data region (115). It includes the Wollongong, Shellharbour, Kiama, Shoalhaven and Wingecaribee local government areas.
  • Your primary place of residence will be verified before any participation in a clinical or research trial at IHMRI takes place.
  • You must be over 18 years of age to register your interest.
  • Filling in this form does not automatically enter you into any of IHMRI’s Clinical and/or Research Trials.
  • This information will not be used for any research purposes.
  • This information will be added to our database which will be used to contact people who may be interested participating in a particular trial.
  • If you indicated you are interested in trials, you may be contacted by IHMRI and provided with further information about that trial. If, after screening, the trial is suitable for you, you will have an opportunity to provide consent to participate.
  • At no stage are you obliged to participate in any trial.
  • All information completed on this form and subsequent information collected by us will be kept confidential and will not be used for any purpose other than recruiting and selecting suitable clinical trial participants. It will not be on sold to third parties. It will not be used for marketing purposes unless you consent to receiving this information. IHMRI abides by the privacy statement of the University of Wollongong.
  • Some trials will include compensation for time and travel, or additional support services such as psychological, dietary and fitness consultations. Every individual trial is different and this compensation is not standard across all trials. Compensation allowances, if any, will be disclosed at the time of participant selection.
  • You can request to be removed from the database at any time by contacting IHMRI via the phone number, postal address or email address provided below.

I have read the conditions of expression of interest.

CONTACT US
E: ihmri-crtu@uow.edu.au
T: 02 4221 4333
IHMRI, Building 32, University of Wollongong, NSW, 2522

 

Last reviewed: 30 March, 2012