{# contact_request_submit.html #} {% extends "base.html" %} {% comment %} template parameters: form: Form {% endcomment %} {% block content %}

Submit patient contact request

You can submit contact requests for studies for which all of the following are true:

The RDBM can submit contact requests using NHS numbers or research IDs; researchers are restricted to research ID lookup.

{% csrf_token %} {{ form }}
{% endblock %}