Register in the Directory as an association

The information below will be publicly displayed in our Directory of Patient Organizations and will be accessible to visitors to our website. Our team will verify the information within two business days to confirm that your organization corresponds to a patient organization.

Your Organization

Website*

Enter your website URL.

Charity number

Follow format 000000000 XX0000.

Organization Email Address

Organization Phone Number

Address

If your organization has a business address, complete the information below to display your address in our directory.

Brief description of the organization*

Provide a brief description of your organization (500 characters maximum).

Add a logo

Upload a logo to represent your organization. Must be in square format.
Accepted file types: .jpg, .png | Recommended size: 512 x 512 px | Max. file size: 2MB.

Drop files here or

Accepted file types: jpg, png, Max. file size: 2 MB.

Fill in the information in French about your organization:

Organization Name

Enter the full name of your organization.

Address

If your organization has a business address, complete the information below to display your address in our directory.

Organization Description

Provide a brief description of your organization (500 characters maximum).

Add a logo

Upload a logo to represent your organization. Must be in square format.
Accepted file types: .jpg, .png | Recommended size: 512 x 512 px | Max. file size: 2MB.

Drop files here or

Accepted file types: jpg, png, Max. file size: 2 MB.

Contact Person

The information below is kept confidential and will not be published on our website. They will be used for administrative purposes only, and to communicate with you if necessary.

First Name*

Last Name*

Email Address*

Job title*

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Directory of Patient Organizations

Registration Form

Your Organization

Contact Person

Call us to find a clinical trial

Questions about clinical research?

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Directory of Patient Organizations

Registration Form

Your Organization

Contact Person

Call us to find a clinical trial

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