I would like to participate in an upcoming study

Health history start-up packet information form

Please take a moment to access and fill out the participation form through the link below. Upon submission, we will review your information and contact you promptly.

Access Participation Form

The start-up packet contains most of the forms that you will need to fill out to be a study participant. Please print it out and bring it with you to your first visit. We look forward to meeting with you!

Open start-up packet
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  • Cardiovascular
    • Coronary artery disease
    • Heart failure
    • Hyperlipidemia / elevated cholesterol or triglycerides
    • Hypertension / elevated blood pressure
    • Prior heart attacks
Endocrine Type 1 or 2 diabetes Gastroenterology Chronic idiopathic constipation · Obesity / Weight loss · Opiod-induced constipation · Irritable bowel syndrome with diarrhea, constipation or mixed · Metabolic syndrome · Nonalcoholic fatty liver disease (NAFLD) · Nonalcoholic steatohepatitis (NASH) Men’s Health · Hypogonadism / low testosterone Orthopedics · Chronic, Non-Malignant Pain · Chronic and acute lower back pain · Osteoarthritis of shoulders, knees and hips Nephrology · Focal segmental glomerulosclerosis (FSGS) · Urinary tract infections (chronic and acute UTI treatment and prevention) Neurology · Migraine Prevention · Geriatric respiratory illness prevention · Influenza (flu) vaccine · Meningitis vaccine · Respiratory tract infection prevention · Urinary tract infection (UTI) vaccine Psychiatry · Alzheimer’s disease · Major depressive disorder / Depression · Obsessive compulsive disorder · General anxiety disorder / anxiety Respiratory · Alpha 1 antitrypsin deficiency · Asthma (adult and pediatric) · Chronic obstructive pulmonary disorder (COPD) · Influenza (flu) treatment · Respiratory syncytial virus (RSV) / common cold treatment Rheumatology · Chronic gout · Gout flare · Psoriatic arthritis · Rheumatoid arthritis Women’s Health · Peri- and post- menopause · Vasomotor symptoms (hot flashes, night sweats)
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