Rare patient passport trial CamRARE 2023

CamRARE Passport Application Form 2025

First Name

Last Name

Mobile number

Which country are you located in?

Which city are you located in?

Who is the passport for?

For me

Someone I care for (child)

Some I care for (adult)

To apply for a specific patient group branded passport, select from the alphabetical list below.

If you are not part of a patient group, you can apply for the CamRARE universal passport with CamRARE branding. Check the box below if you would like this version.

Yes I am applying for a CamRARE branded passport

Would you like to be added to our mailing list to receive updates and new versions of our passport?

Yes, sign me up in line with GDPR

No thank you

How did you find out about the passport?

The Rare Disease Research Network (RDRN) platform is now live! Are you interested in rare disease research? Whether you’re a patient, carer, researcher, clinician, or part of industry — the RDRN is your space to connect, collaborate, and create impact. Co-led by CamRARE and the Patient Led Research Hub, and funded by the NIHR, the platform brings together people across the rare disease community to: Showcase your research ideas and priorities Meet others who share your interests and goals, and build your research team Access tools and resources to support your research journey The platform is co-produced by the rare disease community and backed by leading research organisations, with the aim of making patient-driven research more visible, achievable, and supported. Join the network today and start building meaningful partnerships for research. Find out more at www.rd-rn.org. Would you like to receive more information about RDRN?

Yes

I consent to CamRARE processing my data, in accordance with their privacy policy [https://www.camraredisease.org/privacy-policy], for the purposes of processing this Rare Patient Passport application and so that CamRARE can send me a passport via email.

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