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Required format:

/^((0?[1-9])|([1-8][0-9])|(9[0-8]))[0-9]{3}$/

/^((29([-\/])02\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1\d|2[0-8])([-\/])(0[1-9]|1[012]))|((29|30)([-\/])(0[13-9]|1[012]))|(31([-\/])(0[13578]|1[02])))(\11|\15|\18)\d{4}))$/

/^((02([-\/])29\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1[012])([-\/])(0[1-9]|1\d|2[0-8]))|((0[13-9]|1[012])([-\/])(29|30))|((0[13578]|1[02])([-\/])31))(\11|\15|\19)\d{4}))$/

/^(((\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00))([-\/])02(\6)29)|(\d{4}([-\/])((0[1-9]|1[012])(\9)(0[1-9]|1\d|2[0-8])|((0[13-9]|1[012])(\9)(29|30))|((0[13578]|1[02])(\9)31))))$/

/^(((\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00))([-\/])02(\6)29)|(\d{4}([-\/])((0[1-9]|1[012])(\9)(0[1-9]|1\d|2[0-8])|((0[13-9]|1[012])(\9)(29|30))|((0[13578]|1[02])(\9)31)))) (\d|[0-1]\d|[2][0-3]):[0-5]\d$/

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/^[ABCEGHJKLMNPRSTVXY]{1}\d{1}[A-Z]{1}\s*\d{1}[A-Z]{1}\d{1}$/i

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yWfCYi77EthbLaIFVfBiC6

Traditional, Complementary and Integrative Health and Medicine COVID-19 Support Registry

Returning?

Please contribute to this registry with de-identified data from patients/clients who have been treated for COVID-19 exposure or prevention.

Distribution of this registry has been approved by the IRB of the National University of Natural Medicine. Contributions to this registry have been made by researchers at the National University of Natural Medicine, the Canadian College of Naturopathic Medicine, the University of Sydney, the University of Technology, Sydney, the University of Toronto, the University of Texas, NYU Medical School, Harvard Medical School, the New England School of Acupuncture at MCPHS University, the Ontario College of Traditional Chinese Medicine, the Society for Acupuncture Research, the American Society of Acupuncturists, the Shen Nong Society, Southern California University of Health Sciences, Weill Cornell Medical College, The DINacharya Institute, the Clinical Ayurveda Research Working Group, the Bharati Vidyapeeth College of Ayurved, Mount Madonna College of Ayurveda, Immanuel Hospital Berlin, and the Institute for Functional Medicine.

OVERVIEW: Enter one record for each case. You may enter as many cases as you would like to provide. The option to enter another record becomes available following each submission. All questions are optional except for several critical case questions.

IMPORTANT: We recommend you save the "Survey Access Code" for each registry entry, and record this code on/in the patient/client record. Linking this code to the patient/client record allows for responses to be modified if there are changes in supportive care, symptoms, management and/or case outcomes. The Survey Access Code becomes visible after you submit each response. Each record has its own unique access code, so please record each individual code and link to its respective record.

NOTE: After you submit each record, you will be given the option of downloading your responses as a PDF for your records.

Yes