Application to Contribute a Case to PATSy
Home Speech & Language Neuropsychology Medical Rehabilitation Dyslexia Audiology
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Please follow the steps below and click the "Submit" button at the bottom of the page.

  1. Print the initials of the participant here:
  2. Print your tutorial questions here (optional):
  3. Print your narrative account for "Interesting Features" here:
  4. Print your name, organisational affiliation and e-mail address here:
    Name:
    Organisation:
    Email:
  5. Indicate whether this is a Demonstration case or a Research archival case (read this to help you decide):
    Research
    Demonstration
  6. If this is a Research case, has this participant appeared in a published paper?
    Yes
    No
  7. If this is a published Research case, please print the reference(s) in which this case was reported:
  8. Please print the details of any other relevant references to the case or the clinical disorder.
  9. Indicate whether there are any of the following for this case:
    Video
    Audio material
    Graphic Material
    Published Tests
  10. Read the information About patient/participant consent (also linked from "About PATSy"). Indicate whether it is necessary to seek consent.
    Yes
    No
  11. State how many tests you wish installed on PATSy for this participant:
  12. Of these, how many test already appear on PATSy? Refer to the list of tests.