Clinical Research Participants

    Medical ResearchGreat Lakes Medical Research recognizes that clinical research would not be possible without the enrollment of study volunteers. We would like to thank our volunteers in advance for helping GLMR conduct studies that can bring new medications to the community. Becoming a volunteer as one of our study participants is easy. The first step is to register with GLMR for one of our potential studies. Once you have completed the study registration form, you will be contacted by one of our experienced research personnel to conduct a private phone interview. We will discuss any medications you take, your medical conditions and any concerns or questions you may have. We will then let you know about up-coming studies for which you may qualify. If you would like to learn more about clinical trials or have any additional questions about Great Lakes Medical Research, LLC Please feel free to contact us, Thank you for your interest in becoming a study volunteer. Please fill out the form below for the opportunity to participate in a clinical trial.



    Register to become a Volunteer
    • Name*full name

      0

    • Date of Birth*Date of Birth

      1

    • Email*a valid email

      2

    • Phone Number*(555) 555-5555

      3

    • Address*full address

      4

    • PULMONARY*
      COPD
      ASTHMA
      RHINITIS
      BRONCHITIS
      PNEUMONIA
      PULMONARY HYPERTENSION
      CHRONIC SINUSITIS
      RESPIRATORY TRACT INFECTION
      OTHER

      5

    • CARDIOVASCULAR*
      TYPE 1 DIABETES
      TYPE 2 DIABETES
      LOW BLOOD PRESSURE
      HIGH BLOOD PRESSURE
      LDL CHOLESTEROL
      MYOCARDIAL INFARCTION (HEART ATTACK)
      STROKE
      OTHER

      6

    • GI DISORDERS*
      IRRITABLE BOWEL SYNDROME (IBS)
      CONSTIPATION
      DIARRHEA
      CELIACS DISEASE
      GERD (HEART BURN/ACID REFLUX)
      C-DIFF
      ULCERATIVE COLITIS
      CROHNS DISEASE

      7

    • OPTHALMOLOGY*
      GLAUCOMA
      MACULAR DEGENERATION
      RETINOPATHY
      OTHER

      8

    • URINARY DISORDERS*
      OVERACTIVE BLADDER
      URINARY INCONTINENCE
      URINARY CATHETER ENCRUSTATION
      URINARY TRACT INFECTION
      OTHER

      9

    • ENT DISORDERS*
      TONSILLITIS
      SINUSITIS
      EAR INFECTION
      HEARING LOSS
      OTHER

      10

    • ADDITIONAL COMMENTS*

      11

    • 12

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