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Be A Participant in Our Study

Contact us at 1-800-219-9157 or please complete the form below if you are interested to know more about the study of macular degeneration and our team will contact you directly.

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Your name

Your Contact Information

How to Contact You

Please fill the questions below as much as possible (optional)

Why are you interested to join our study?
Have you or a member of your family contacted us in the past?
Has a member of your family ever been diagnosed with macular degeneration or other retinal diseases?
Would your family member be interested to join the study too?