To get involved in our studies, please complete the following questionnaire. Your information will be stored in a recruitment database and researchers in the Department of Allergy and Immunology may contact you to perform a more in-depth phone screen and to schedule a screening visit. Your information will be stored in a secure database and will only be used by researchers in our department. Completing the questionnaire and participating in future research procedures is voluntary. If you have any questions about how your information will be used or want to withdraw your information in the future please contact us as 1 (877) 942-7846 (877-WI-Asthma).
By submitting this form you agree that you are at least 18 years old and are willing to be contacted about participating in future research studies. Please call us at at 1 (877) 942-7846 (877-WI-ASTHMA), email us at email@example.com, or send us a message with the form below. Thanks!