Research Study Opt Out Form 




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Clinical Research at the Hurley Clinic

Hurley Clinic is proud to be a Research Ready Accredited Practice. 

We work collaboratively with the NIHR Clinical Research Network which is the Research arm of the NHS. Clinical Research is very important to improve care, treatments and ultimately patients’ quality of life. Hurley Clinic supports several different types of Primary Care studies which have been ethically approved. 

Our GP Research Lead is Dr Satinder Kumar and our Research Nurse is Sammy Backon. If you are a patient at the Hurley Clinic, you may receive invitation letters to ask if you wish to take part in a research study. Joining in a research study is completely voluntary. 

However, if you do not wish to be contacted about research studies please complete this form

To find out more information about clinical research studies please visit the National Institute for Health Research

I confirm that I do not wish participate in clinical research at the Hurley Clinic and wish to opt out. It would be very helpful if you could let us know why you want to opt out by giving a few details below: 

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.


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