Member Registration

The member registration form below is designed to collect information on all IN-CAM members to store in a secure, searchable member database. The database can be searchable by city, province and research interests and was designed to facilitate networking and contacts between IN-CAM members with similar interests and/or geographic locations. Your information will appear in the database exactly as it is input.

Please note that you may return at any time to update the information you provide by selecting the 'Update Member Information' option. You may also choose to complete any non-mandatory questions at a later time, if you do not have time to do so right now.

* are mandatory fields

MEMBER REGISTRATION FORM

 
1. First Name:*
2. Last Name:*
3. Address:
4. City:*
5. Province/State:*
6. Postal Code:
7. Country:*
8. Phone Number:
(999)999-9999
9. Fax:
(999)999-9999
10. Email:*
Your email address will become the username that you will use to log on to the IN-CAM web site. You will also be asked to create a unique password. IN-CAM will never sell or share our members’ email addresses with any other organizations.
11. IN-CAM will send periodic updates about CAM research electronically via email. Would you like to be added to IN-CAM’s electronic mailing list?*
YesNo
12. Personal URL:
13. Organization:
14. Job Title:
e.g. professor, physician, naturopath
15. Qualifications:
e.g. MA, MD, PhD
16. Professional Affiliations:

17. Which of the following categories best describes your research?*
basic science research
clinical research
health services, systems and policy
population health

18. How would you describe yourself?*
academic researcher
administrator
clinician
educator
policy advisor or analyst
research staff
student
other

19. From the following list, please identify at most FOUR areas which best describe your specific research interests. Please note the options have been grouped into four main categories. Your 4 choices may be in different categories, or all in the same general category.

CAM Therapies
CAM therapies in general
Natural Health Products in general
Acupuncture
Aromatherapy
Botanical/Herbal Medicine
Chiropractic
Diet and Nutrition
Homeopathic Medicine
Massage therapy
Mind-Body Therapies
Naturopathic Medicine
Orthomolecular Medicine
Osteopathic Medicine
Therapeutic Touch
Traditional Chinese Medicine
Energy Therapies
Spiritual Approaches
Other,

(Medical) Condition Classifications
Cardiovascular disorders
Chronic illness in general
Dental and oral disorders
Dermatological disorders
Ear, nose and throat disorders
Endocrine and metabolic disorders
Gastrointestinal disorders
Genitourinary disorders
Hepatic and biliary disorders
Immunological disorders
Musculoskeletal disorders
Neurological disorders
Nutritional disorders
Obstetric/gynecological disorders
Oncological/hematological disorders
Ophthalmologic disorders
Pediatric disorders
Psychiatric disorders
Pulmonary disorders
Other,

Populations
Men
Women
Pediatric
Geriatric
Pregnant
Ethnic Groups
Other,

Health Services Research
Health law and ethics research
Health policy research
Health promotion/wellness/disease prevention
Integration of CAM and conventional care
Patient-practitioner relationships
Regulation of CAM products and practices
Other ,

20. How did you hear about IN-CAM?
I was referred by an outside organization (e.g., research network, professional association, college or university, government organization).
I was referred by an individual colleague or heard about IN-CAM through word of mouth.
I heard about IN-CAM while attending a conference or participating in a course or seminar.
I received an email from IN-CAM inviting me to join.
I found IN-CAM while performing an Internet search.
Other. Please Specify below:



21. Do you agree to have your information posted in IN-CAM’s secure membership database? Your information will only be accessible by IN-CAM members to facilitate networking between individuals interested in CAM. We will never distribute your information to other groups or organizations.*
YesNo

22. The Homeopathic Research Network of Canada (HomeoNet) has the objectives to: 1) facilitate high quality Canadian research in homeopathic medicine; 2) be a conduit for the necessary flow of information between academic, medical and homeopathic researchers; and, 3) build mutually beneficial partnerships within the context of homeopathic medicine research. As a partner of IN-CAM, Homeonet will periodically send newsflashes of specific interest to homeopathic research. Do you want to be added to Homeonet’s mailing list?
YesNo

23. PedCAM is one of IN-CAM's partners. It is an academic, non-commercial network focused on pediatric CAM research and education.

Membership is free and the benefits of membership include: a searchable members database; biweekly newsflashes with current information including new publications, conferences, funding information, and other items of interest; a repository of information including publications and conferences; and expert searches for various CAM topics.

Are you interested in becoming a PedCAM member?
YesNo

User Login
To login to the IN-CAM web site, you will require both a username and a password. Your username will be the email address that you have entered above. Your password is chosen by you.
Password
(between 6 and 16 chars):*
Confirm password:*



 

 

16 Apr 09