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Clinical Research Volunteer Registry

Thank you for your interest in enrolling in The University of Iowa’s Preventive Intervention Center (PIC) registry of future research participants.  The purpose of this registry is to identify individuals who have an interest in participating in research studies conducted by researchers at PIC.

If or when there is an appropriate study, you will be contacted by the PIC recruiter with information about a study either by letter, or e-mail. The purpose of the contact will be to let you know about a study and to see if you are interested and eligible  The number and type of study volunteers needed each year varies, so we can not guarantee that you will be contacted or enrolled in a study.

Participation in any study is voluntary, and submitting your name to the registry in no way obligates you to respond to any requests for study volunteers.

If you would like to enroll, please read the following consent summary:

Consent Summary: Volunteer Research Registry

If you agree to participate in the Registry, we would ask you to provide information about yourself including your birth date, gender, race, and contact information. If you click the "Yes" box below, complete the information form on the next page, and submit the form, you become part of our Registry.

We will keep information you provide confidential. However, federal government regulatory agencies, auditing departments of the University of Iowa, and the University of Iowa Institutional Review Board (a committee that reviews and approves research studies) may inspect and copy records pertaining to this research.

Only University of Iowa Preventive Intervention Center staff has access to the Registry. Registry information is kept in a password-protected database. We will keep your information in our Registry for five years. The information you provide for us will only be used for the purpose of contacting you for possible future research. Your contact information will not be sold or distributed to any outside party or institution.

There is no compensation of enrolling in this Registry. There are no known risks from being in this Registry and you will not benefit personally. However we hope that others may benefit in the future from studies that may be conducted. Taking part in this Registry is completely voluntary. If you decide not to be in this study, or if you stop participating at any time, you won't be penalized or lose any benefits for which you otherwise qualify. If you do not wish to submit your information, close the web browser window without submitting the form.

If you have any questions about the Registry itself, contact Dr. James Torner at 319-384-5001. If you have questions about the right of research subjects or research related injury, please contact the Human Subjects Office, Office of the Vice President for Research, Hardin Library for the Health Sciences, Office 105, 600 Newton Rd, Iowa City, IA 52242-1098. If at any time you would like to remove your name from this participant database please call 1-800-887-6917 or 384-5048. You may print this page for your records. If you would like to continue with the registration process, please indicate you have read the above statement by checking the Yes box.

YES I have read the consent summary and agree to the information.

NO I do not consent.