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Gaucher Registry
 Home > Health Care Professionals > Participate


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Physician Enrollment

Physicians
All physicians who are managing patients with Gaucher disease are encouraged to participate in the Registry. Physician enrollment in the Registry is simple -- just complete the Online Physician Enrollment Form. You can also download the paper version . Fill out the form, sign it, and fax or mail it to the Gaucher Registry.

Once the Registry has processed the Physician Enrollment Form, you will receive a Physician ID Number confirming your enrollment as a participating physician in the Gaucher Registry.

Study Coordinators
If you belong to an institution with multiple physicians participating in the Gaucher Registry, a Study Coordinator should be designated as the primary contact person who will be responsible for submitting patient data. Please complete the Study Coordinator Contact Information portion of the Physician Enrollment Form. Large institutions may have more than one Study Coordinator.






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Submit Data Electronically

Your site may have the opportunity to submit data to the Gaucher Registry electronically with the Electronic Data Capture and Reporting (EDCR) program. Contact the Registry for more information.

Related Links & Downloads

   Registry Materials

   Physician Enrollment Form (PDF)
  Patient Authorization Form



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