PPMS for the CIC Facility

PPMS user account creation form

Important:
If you have a PPMS account that does not work anymore or may have been deactivated, please do NOT fill out this form, please contact an administrator for assistance: CIC facility, email:louis.theroux.comtl@ssss.gouv.qc.ca, phone:514-761-6131 x4777.
If you do not remember your password, you can follow these instructions.

Please choose one of the following options:

Your institution is Douglas Hospital Research Center
Your institution is NOT Douglas Hospital Research Center

Note: this page requires Javascript

Please enter your details below ( * : required fields)

First name:: *
Last name:: *
Phone:: *

Email:: Email: *
If your email exists in both a short and a long form, please use the short form
(Use username@domain instead of firstname.lastname@domain)

Financial Account number:: *

Password you want to use:: * password is strong enoughpassword is not strong enough (strength: %) Invalid character in password
Retype password:: * passwords matchpasswords don't match

Do not use a dictionary based word, or a name
Do not use series like 1234 or qwerty or abcd
Try to use combinations of lowercase (a-z), uppercase letters (A-Z), numbers (0-9) and non-alphanumeric characters
The non alphanumeric characters allowed are:
! " # $ % & ' ( ) * + , - . / : ; < = > ? @ [ \ ] ^ _ ` { | } ~ and the space character

Group: Select a group: *
My group is NOT in the list

Group: Select a group: *
My group is NOT in the list

Basic presentation version of PPMS. The normal presentation requires a modern browser.

PPMS release 19496 (7fa9)

PPMS for the Douglas Centre Imagerie Cerebrale - CIC

PPMS user account creation form

Please choose one of the following options:

Douglas Hospital Research Center authentication

Please enter your details below ( * : required fields)