Enrolling Studies

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Volunteer Registration Form

Introduction
>Contact Information
>Medical Conditions
>Studies of Interest

Introduction

Ready to become a volunteer?

Joining the SMR Volunteer registry is free and takes only a few minutes. You may either register yourself or someone else as their parent, guardian or caretaker. If you have questions about research, please visit our FAQ page. You can begin creating your SMR Volunteer profile by clicking 'Get Started Here' and following these four simple steps:

Fill out a few basic questions about yourself or the person you wish to register.
Indicate what study you are interested in.
If you wish, you can tell us a bit more about your health background.
Submit your profile to SMR and wait to be contacted if you're good match for an enrolling study.

Information marked with an asterisk* is required.

We do not share your information. Please read our privacy policy for details.

Is the SMR Volunteer registry secure? How is my information protected?

See our FAQ for more details.

Tell us who you are.

First Name* Last Name* Phone* Email* Zip*

Patient Information

Tell us about yourself.

We need additional information to help match you with studies that you may be eligible for.

Date of Birth* (Format : MM/DD/YYYY) Gender Height (Feet) Height (Inches) Weight Do you use tobacco? Ethnicity

Medical Conditions

Tell us about your previous and current health conditions.

Have you been diagnosed with a health or medical condition?

If you wish, please share with us any conditions or diseases that you may have. You may enter in as few or as many condition(s) as you like.

You may select form our list of medical conditions to the left.

Please click on a letter to view the conditions starting with that letter

You may search our list of medical conditions:
You may also just type them in.

Medical Conditions List:

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Medical Studies of Interest

What health conditions are you interested in? If you wish, please add any health conditions that you would like to include in your Volunteer profile.

Selected Conditions / health conditions I am interested in.

Select multiple options by holding down the < control > key (pc) or the "command" key (mac)

Additional Info

You're almost done!

Is there anything we missed?

Some studies may require traveling to a specific site. In general, how far would you be willing to travel for these types of studies?

Anything else?
If you wish, please add any additional information that you feel may be helpful in matching you with studies that may be of interest to you. Please do not share any identifiable information here, such as your name or contact information.

SMR can alert you to new clinical studies and health news and information that match your profile.

Alert me to new studies that match my criteria Send me health or clinical research news that match my criteria

Enrolling Studies

Type 2 Diabetes

Clostridium difficile Vaccine

Coronary Artery Disease with Type 2 Diabetes or Metabolic Syndrome

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