UK Myotonic Dystrophy Registry

Account Registration

Please complete this form and click on the "Continue" button to start the registration.

If you have already registered and would like to update your data, go to the login page and sign in with the e-mail address and password you previously registered with

Personal Information

Please input your details.

First name*

First name

Last name*

Last name

Date of birth *

Day

Month

Year

Credentials

You will use the e-mail address and password you choose here to log in to the registry at any time. In order to protect your personal data against unauthorised access, please choose a password that is hard to guess.

Email address*

Password *

Please enter a password. For security purposes, your password must be at least 8 characters long, and include a lowercase letter, uppercase letter, number and a symbol

Confirm Password *

Please confirm your password

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