Healthy volunteers

If you are healthy, do not have a current condition and are not being seen by an NHS doctor, you can still contribute to research.

Our state-of-the-art clinical research facility (CRF) at Hammersmith Hospital carries out studies that include healthy volunteers as well as NHS patients. Healthy volunteers are people who are interested in taking part in, and contributing to research, but who do not have a current condition and are not being seen by an NHS doctor.

If you decide to join our healthy volunteers’ panel, we will contact you if a study comes up that you are eligible to join. There is no obligation to take part and you can remove your name from the panel at any time. If you are enrolled in a study, you may be paid for your time.

Complete the form below if you would like to join the CRF healthy volunteers’ panel. Once we’ve received your completed form we will add your details to our database.

Find out more about studies which are recruiting healthy volunteers.

Please be aware that Imperial CRF is located in West London, and there may be CRFs that are closer to you that are more suitable. A list of all NIHR funded research facilities in the UK can be found here. 

If you would like to hear from the NIHR Imperial Clinical Research Facility about studies you may be able to take part in, please complete this form. We will then contact you when we have a study that you may be eligible for based on this information. Your details will be kept confidential, and you can ask to be removed from the database at any time.

If you are interested in being recruited for a specific study that you have seen advertised or have any questions please email imperial.recruitment.icrf@nhs.net or call 020 3313 8082.

*All questions are optional except your name and email address, however by providing other information we will be better able to identify more suitable studies for you.

About you

Name* Email address* Phone number Post Code Date of birth (eg dd/mm/yyyy) Sex male female Height (please specify units): Weight (please specify units): Do you smoke? yes no Do you have any health conditions? Please give details

Information for monitoring inclusion, diversity and equality.

Do you consider yourself to be a disabled person? Yes No Prefer not to say What is your religion? No religion Buddhist Christian Hindu Jewish Muslim Sikh Prefer not to say Other

Other, please specify

Which of the following best describes your gender? Man Non-binary Woman Prefer not to say Other

Other, specify

Do you identify as trans? Yes No Prefer not to say What is your ethnic group? White British White Irish White other Black African Black Caribbean Black other Asian Bangladeshi Asian Indian Asian Pakistani Asian other Chinese Mixed white and Asian Mixed white and black African Mixed white and black Caribbean Mixed other Prefer not to say Other

Other, please specify

Which of the following best describes your sexual orientation? Asexual Bi bisexual Gay lesbian Heterosexual Pansexual Queer Prefer not to say Other

Other, specify

Do you have any caring responsibilities? Yes No Prefer not to say

If Yes, please select the type of carer Primary carer for child under 18 Primary carer for child with disability illness Primary carer for disabled adult Primary carer for older person 65yrs plus Secondary carer Prefer not to specify

Consent to retain and process personal data

With your permission, we will retain this information in the NIHR Imperial CRF for an indefinite period of time.

We will keep the information secure and treat it as confidential, so it will only be accessible to authorised staff.

We will use this information to assess your suitability for research studies and to contact you about them.

For more information about how we may use your data, please read our privacy statement at: <a href="https://www.imperial.ac.uk/nihr-crf/ppi/volunteer/">https://www.imperial.ac.uk/nihr-crf/ppi/privacy-notice/.</a>

If you wish to withdraw your consent to us using this information, you can do so at any time. Once we have deleted your records, we will no longer be able to contact you about future research studies. You are still welcome to reply to adverts and participate in studies of your own accord.

To withdraw your consent, email imperial.recruitment.icrf@nhs.net making it clear that you wish to have your details removed from the healthy volunteer database.

Please tick the box to confirm that you have read the above information, and that you consent to us processing your information as described above and in the privacy statement.

I confirm my consent