Instructions

Please complete the following forms without refreshing your screen, using your browser's back button or leaving the page. Information will not be saved until you hit the final 'submit' button.

Consent to participate in study

You have either been referred by your GP or have completed the MCDTP to diagnose that your child has Molluscum Contagiosum. Before you participate in the study you must complete your child's details and consent form below.