INITIATE CGM » Delegant

Project name: INITIATE CGM

Protocol Title: INITIATE-CGM: Initiation and Management of DExcom Continuous Glucose Monitoring in Primary Care in People living with Type 2 Diabetes on Insulin

Protocol No: PTL-1000632

Please use the form below to respond to the invitation to attend the above meeting.

DEX0126

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Name

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I will be attending the meeting *

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Will someone be attending on your behalf? *

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Details of person attending on your behalf

Name *

Name

First Name

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My attendance

I will attend for dinner on the evening of 14th January 2026 *

Yes

No

I require hotel accommodation for night of 14th January 2026 *

Yes

No

I will attend the investigator meeting on 15th January 2026 *

Yes

No

I have special access or dietary requirements *

Yes

No

Please specify special access or dietary requirements

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