Skip to main navigationSkip to main content
The University of Southampton
Primary Care Research Centre

Patient and Public Involvement (PPI) Registration Form

Patient and Public Involvement (PPI), register your interest.

This form will take approximately 5 minutes to complete.

We invite you to join our valued network of patients, carers and members of the public who are interested in healthcare research and innovation.

We work across the Wessex region. By registering you agree to be sent information about involvement opportunities as they arise. They might include the following:

- Responding to surveys or questionnaires
- Attending focus groups, workshops, events
- Being an active member within research groups
- Evaluating and reviewing documents
- Acting as a co-applicant in research funding applications

You can choose to withdraw your involvement at any time by emailing our PPI Officer Sonia Newman at s.newman@soton.ac.uk

Your information will be kept securely by our PPI Officer.  Your details will not be shared with any third parties unless we have first obtained your permission. We will only retain your data for as long as you wish to continue as one of our PPI Contributors.

To make sure that we have a wide range of people involved, we ask you questions about your general experience and background (including ethnicity). It would help greatly if you could answer these questions and provide as much information about your interests as you can, so that we can better match you to opportunities when they arise.

Please complete all questions with a star * next to it.

    Patient and Public Involvement (PPI) Registration Form
             
         
                                       
    Privacy Settings