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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