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This registry is for people who are allergic to food, insect stings, medication, latex or exercise. It may also be of benefit to people who are intolerant or sensitive to foods. It is designed to benefit you in two ways:
- Your specific information will allow us to provide you with relevant clinical and educational updates as well as product recalls.
- It will also give us statistical data for research studies, advocacy and fund-raising. When we approach the food industry, government, airlines, railways, schools or drug companies, we need data that clearly demonstrate the magnitude and severity of this problem.
Please help us compile this valuable information. All responses are confidential. Your information will be kept on a separate server and accessible only by Anaphylaxis Canada.
You can join the Registry by faxing in the form below, or by submitting your information in our on-line form. You will receive confirmation of your submission and receive a PIN number and password so that you can update your profile online.
Download the Registry Form (PDF Format)
 English 
French
The Canadian Anaphylaxis Registry is provided free of charge as a public service.
Last date modified on Friday, August 22, 2003
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