PSSD Patient Data submission Submit your details to the PSSD Network Patient Database Name * First Name Last Name Email * Gender * Male Female Country * Medication you have taken * Enter a list of medications you have taken, including the starting and stopping dates. When did you start taking your first medication? * MM DD YYYY When did you stop taking your last medication? * MM DD YYYY Additional comments Consent * I consent to the collection, processing, and storage of my personal data by PSSD Network for the purposes outlined in the Privacy Policy. Thank you for your submission.For more information please reach out to Simon at simon.wright@pssdnetwork.org or contact@pssdnetwork.org.