Welcome to our clinical trial open enrollment questionnaire! Please provide your information below. Be as precise and accurate as possible. Name * First Name Last Name Email * Phone * (###) ### #### Which studies are you interested in? * Weight Loss & Obesity Lupus Osteoarthritis of the Knee Gout Dermatomyositis Rheumatoid Arthritis Sjogren's Syndrome Osteoporosis Osteoarthritis of the Shoulder Norovirus Vaccine Psoriatic Arthritis Date of Birth * MM DD YYYY What is your current weight? * What is your current height? * Have you ever been a patient of Altoona Arthritis & Osteoporosis Center and/or Altoona Center for Clinical Research? * Yes No Do you have a history of cancer? * Yes No Family History How did you hear about us? * Social Media Google Search Referral Newspaper TV Word of Mouth Billboard Is there any other information you would like to provide us for your request for enrollment? Thank you for providing your information. Our clinical research team will be in touch with you as soon as possible. In the meantime, please feel free to download our study materials or reach out to us directly by calling: (814) 693-0300
