EAS LCN National clinic nomination

This form is for use by the chairs and co-chairs of the lead national clinics in the EAS Lipid Clinic Network.
You are asked to nominate the other clinics in your country who will be invited to join the network.
Please provide the details of each of your nominated clinics using the form below. Each nomination is submitted separately.

Main contact in the nominated clinic (scientific lead)

Clinic details