Application for ICA Membership

To join the ICA, you may use the online Membership Application. Alternatively you can print the form, complete it and fax it to the following number: +41 41 560 85 34 (attn: International CTEPH Association).

Fields marked with an * are compulsory and must be filled in.

 

Please add 2 and 4.

Consent

By clicking "next step" and "Submit", you give permission for the ICA to use your data to process your application for ICA membership. You may withdraw your consent at any time by sending an email to the following address: data-protection@cteph-association.org

What happens to your data

Your personal information will be kept by the ICA and its contracted third parties, who are bound by a confidentiality agreement. Your private data will not be given or sold to any other party for commercial purposes or otherwise.

Your personal data will be used by the ICA to build a global network of health-care practitioners active in the field of CTEPH, to identify potential sites for research projects, to provide individual access to the educational platform, and to update members on ongoing activities.

You can request to review and delete the personal information held by the ICA at any time by sending an email to the following address: data-protection@cteph-association.org. Your personal data will be stored and processed for as long as is reasonably required in order to complete the process relevant to the purpose for which the personal data was collected, or until you withdraw consent. Please follow the link to the ICA Legal Statement for more information.