IS-PAS

Online association management - Application form


IS-PAS Membership Application


To become an IS-PAS registered centre the following criteria must be fulfilled:

  • The centre has to demonstrate that it manages ≥ ten cases of PAS (grade 2-3) over a three-year period. Therefore the centre must return data collection forms for their last 5 cases of PAS (IS-PAS Data Collection Form).
  • The centre has to provide information that all Ethical or IRB approvals as required by the respective national or local regulations or laws to share anonymous data with the IS-PAS database are in place (IS-PAS Agreement Form).
  • The centre has to return a formal questionnaire giving information about its population and clinical practice (IS-PAS Questionaire Form).
  • The centre must provide a CV for a named person responsible for that centre.

Please use this form to apply for membership. 

Requests will only be considered if the form is completley filled out and all the requested documents are submitted!

 

 

 


Profile Picture to be used on the homepage after membership approval:






 

 

 


Type of hospital:

a) Tertiary referral (University or Teaching hospital which takes referrals from other hospitals)

b) Private hospital

c) Public hospital

Please type either "tertiary referral", "private" or "public".




 

 







 

 

 


The centre has to demonstrate that it manages ≥ ten cases of PAS (grade 2-3) over a three-year period. Therefore the centre must return data collection forms for their last 5 cases of PAS (IS-PAS Data Collection Form).

Download link: https://www.is-pas.org/images/Downloads/Registration_Forms/IS-PAS_Data_Collecting_Paper_Form_2013.pdf

Please fill out the form and submitt 5 cases in one PDF file.







The centre has to provide information that all Ethical or IRB approvals as required by the respective national or local regulations or laws to share anonymous data with the IS-PAS database are in place (IS-PAS Agreement Form).

Download link: https://www.is-pas.org/images/Downloads/Registration_Forms/IS-PAS_Agreement_Form.pdf







The centre must provide a CV for a named person responsible for that centre.








Requested files to be filled out have been included in the submission:

  1. IS-PAS_Data_Collection_Form, 5 cases have been submitted in one pdf file
  2. IS-PAS_Agreement_Form, has been signed and submitted
  3. CV of the designated contact has been submitted

 

 

 

Once the requirements have been satisfied the application will be considered and ratified by the board. The board meets usally once a month. The centre will then be added to the list of registered centres once the person responsible for that centre has signed the data agreement contract and paid the fee to register with the IS-PAS database. That centre will then enter the required data into the collaborative database. An IS-PAS registered centre can have an unlimited number of full members but only one vote will count from each centre whenever the general membership is called on to vote. (Minimum of one full member per centre is required). The membership fee is currently 75€ per year, payment instructions will follow after approval.





I agree that my data will be stored, processed and used by "IS-PAS" for the purpose of fulfilling the contract within the framework of membership.

I have been advised that the personal data collected for the purposes mentioned above will be collected, processed, used and transmitted in compliance with the EU General Data Protection Regulation. I have been informed of my rights as a data subject.

The declaration of consent is made on a voluntary basis. I have been informed that I can revoke my declaration of consent at any time by giving written notice for the future.

 



The membership application is made on behalf of "IS-PAS" (Hufengasse 89, 4700 Eupen Belgium) processed via the easyVerein software. By submitting you agree to the processing within the strict easyVerein data protection standards.