For Patients/Volunteers

Thank you for your interest in volunteering for Great Lakes Medical Research studies. This form is to be used if you would like to be added to the general database of volunteers for possible participation in any research study, now or in the future. Filling out this form does not obligate you to participate in a study, but may result in one or more contacts by phone or email assessing your interest and suitability for research trials. You may modify or withdraw your information at any time by emailing us at: seek@glmr.info

The information you provide will be made available to the staff at Great Lakes Medical Research. Someone from this facility will contact you directly should your profile meet the needs for a particular study. Participation in clinical research studies is voluntary, and requires visits to Great Lakes Medical Research in Westfield, New York. You must be at least 18 years of age to complete and submit a form on your behalf.

As a community-based research center, the center offers patients opportunities to participate in government and pharmaceutical sponsored phase II, III and IV research studies. Participation in research studies provides patients access to medical treatment for adult chronic illnesses such as hyperlipidemia, hypertension and Type II diabetes mellitus. The center offers studies for other conditions dependent on sponsorships from the government or pharmaceutical industry.