The Portal Registration form is intended for participating researchers who would like to gain access to CPRN DCC resources. If you believe that you have been assigned a Portal account but you do not know your password, please ‘Quit’ and use the ‘Forgot your password?’ option that is available on the Login page.
To request access to CPRN DCC Portal, please fill out the form below and we will send you a link you can use to set a password and finish your profile.
First Name: * First Name is required.
Last Name: * Last Name is required.
Address: * Address is required. (Work/Department address only)
City: * City is required.
State: * State is required.
Zip: * Zip Code is required.
Business Email: * Email Address is required. *
Phone: * Phone is required.
Name of Site (or Practice): * A Site must be selected from the drop down list. Akron Childrens Bethany Childrens Health Center Boston Childrens Campbell Foundation-LeBonheur Childrens Colorado Childrens Mercy Childrens of Alabama Cincinnati Childrens Columbia University-Weinberg Center CPRN Data Coordinating Center CPRN Network Leadership Gillette Childrens Johns Hopkins Kennedy Krieger Lurie Childrens Mayo Clinic Mt Washing Pediatric Nationwide Childrens Nemours-AI duPont Non-affiliated CPRN Site Phoenix Childrens Primary Childrens Hospital-Utah Rady Childrens Riley Childrens Seattle Childrens Shirley Ryan Ability Lab Texas Childrens University Of California-San Francisco University of Michigan University of Oklahoma UT Health Houston UVA Health Washington University in St Louis
Project Role Information
available
selected
The Project Role will default to a generic "Researcher" role. Choose a role from those available that best matches your role within CPRN.
* For security purposes, please enter the sum of these numbers: four + 4 =
Thank you for your interest in Cerebal Palsy Research Network. When your request for access has been approved you will receive email with a link to access the CPRN DCC Portal.