Please fill in this online form to find out more about the IMPACT trial. IMPACT Trial Interest Register Information about you or your client * I think I have PTSD I know someone who has PTSD I'm a health professional with a client to refer Other Information about you or your client Please specify * Phoenix Australia Traumatic Stress clinic specialises in clinical treatment trials for people in high risk industries and members of the community. Please indicate which best explains you or your client: * First Responder Emergency services Ex-Veteran Community member Other Phoenix Australia Traumatic Stress clinic specialises in clinical treatment trials for people in high risk industries and members of the community. Please indicate which best explains you or your client: Please specify * Full name (optional) Email * Phone number (optional) If you would like us to call you, please provide your phone number and preferred date and time for us to call. Our office hours are 9am-5pm Monday to Friday. Reason for interest/referral * Are you currently living in Victoria? * Yes No Presently, recruitment for the Phoenix Clinic is open for treatment delivered via videoconferencing. Is this suitable for you? * Yes No How did you hear about study? * Do you wish to be contacted in the future by Phoenix Australia for suitable research trials? * Yes No IMPACT only BDNF only TIRED only reCAPTCHA Submit
