Congratulations on deciding to be a part of a clinical research study. We're very excited to have you participate. Before you get started, we need you to fill out the 1-minute release form that provides us permission to obtain your medical records from your Primary Care Physician (PCP).

Please click on the button below and complete a HIPAA release form. All of your information and records will remain secured and will not be shared with anyone outside our practice.

* HIPAA- Health Insurance Portability and Accountability