Primary Study Interest Survey (goemory.org/contactus)

The Hope Clinic is a research clinic affiliated with the Emory University School of Medicine. We are located in Decatur, Georgia, and all of our studies require regular visits to the clinic! Please only fill out the form below if you are local to the metro Atlanta area.

Thanks for your interest!

Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.

source

Demographic Group

CCID (if entered into CC)

Name*

First Name

Last Name

Date of Birth*

Age

City & Zip Code

City

ZIP Code

Email Address*

Cell Phone Number*

The following fields will help us determine which studies are the best fit for you. A recruiter will be in contact soon to set up a phone screening!