Portal Registration

Register: Project Details

Please enter details about your project.

Project Title *

Project Summary *

Project Start Date *

Year

Month

Day

Is this project funded? *

Yes

No

Funding Status: *

Funding Approved

Funding Pending

Other

Funding Status: Other

Total number of expected participants: *

Anticipated # of sites *

Number of times the HJHS will be used: *

(per participant)

Length of the follow-up (# of months): *

Please enter 0 if there will be no follow up.

The study objectives include the HJHS as: *

The study objectives include the HJHS as: Other

Population being assessed: *

Hemophilia A

Hemophilia B

Other

Population being assessed: Other

Youngest age of population: *

Oldest age of population: *

Register: Additional Contacts

Please fill in the following additional contact details as needed.

Are you also the Project Coordinator? *

Yes

No

Project Coordinator Email *

Project Coordinator Designation *

Project Coordinator First Name *

Project Coordinator Last Name *

Does the project have an Academic Supervisor? *

Yes

No

Academic Supervisor Email *

Academic Supervisor Designation *

Academic Supervisor First Name *

Academic Supervisor Last Name *

If you have any questions regarding the administration and use of the Hemophilia Joint Health Score please contact our Help Desk hjhs.helpdesk[at]sickkids[dot]ca