To get your child involved in our studies, please complete the following questionnaire. Information you provide 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. The information will be stored in a secure database and will only be used by researchers in our department. Completing the questionnaire and having your child participate 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 at 1 (877) 942-7846 (1-877-WI-ASTHMA).
By submitting this form, you agree that you are at least 18 years old and are willing to be contacted about having your child participate in future research studies.