Thank you for your interest in volunteering for research studies at the University of New Mexico's Clinical and Translational Science Center. Fill out and submit this form to volunteer for possible participation in any research study, now or in the future.

Filling out this form in no way obligates you to participate in any study. It informs researchers of your interest and provides them necessary information to match your profile with the needs of a particular study. The researchers will then contact you directly by phone or e-mail assessing your interest and suitability for a particular study. Participation in clinical research studies is voluntary, and requires visits to the University of New Mexico's Clinical and Translational Science Center in Albuquerque, New Mexico.

You may modify or withdraw your information at any time by following the directions listed at the bottom of this web page.

A parent or legal guardian may enter information on behalf of a minor (child less than 18 years of age). However, all contact information (Guardian's name, address and phone number) must be completed with the parent or guardian's information.

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