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ICS 2026 Ambassadors
1.
Title:
Mr
Mrs
Miss
Ms
Professor
Dr
Mx
*
2.
First name:
(Required.)
*
3.
Last name:
(Required.)
*
4.
Please confirm your email address
(Required.)
*
5.
Profession (please select one):
(Required.)
Administrator
Alternative Therapist
Basic Scientist
Biomedical Engineer
Biophysicist
Biostatistician
Clinical Pharmacologist
Clinical Researcher
Clinical Scientist
Coloproctologist
Colorectal Surgeon
Educationalist
Endocrinologist
Engineer
Epidemiologist
Female & Functional Urologist
Gastroenterologist
General Practitioner
Geriatrician
Gynaecologist
Health Services Researcher
Industry
Medical Physicist
Medical Researcher
Medical Writer
Nephrologist
Neuroscientist
Neurourologist
Nurse (Specialist/Advisor/Practitioner/Academic)
Obstetrician & Gynaecologist
Other
Paediatric Nephrologist
Paediatric Surgeon
Paediatric Urologist
Paediatrician
Patient Advocate
Pharmacist
Pharmacologist
Physical Medicine and Rehabilitation
Physician Assistant
Physiologist
Physiotherapist
Physiotherapist Assistant
Psychologist
Radiographer
Social Scientist
Surgeon
Technician
Trainee (Student / Fellow / Resident / Registrar)
UroAndrologist
Urodynamicist
Urogynaecologist
Urologist
Urotherapist
Veterinary Surgeon
*
6.
Please confirm your ICS membership number
(Required.)
Thank you for completing this survey. Should you have any questions regarding the ICS Ambassador programme, please email the ICS office: info@ics.org
