Request a Confidentiality Advisory Group (CAG) member application form

Name –

Please enter your full name

Email address –

Please enter your email address

To help us process your request, could you let us know if you would be:

• an expert member (for example a registered healthcare professionals or clinical trial statistician or other expert in research)
• a lay member

How did you hear about us?

• via your local borough (for example newsletters or local facilities)
• via social media
• from a colleague
• from HRA Latest
• from another organisation (for example newsletters or emails)
• other

If you ticked 'another organisation' or 'other', please let us know how you heard about us.