Donate 313-228-0930 M-F 9AM - 5PM
Donate 313-228-0930 M-F 9AM - 5PM

HGHRT Study Participation

Interested in participating in the CNS HGHRT Study? Download the official flyer and submit your details below:

(Click to enlarge and print the flyer)

 

Submit Your Details for Participation

For more information reach us at the number below or fill out the form below. We will contact you to see if you qualify for the study.

CNS LogoCenter for Neurological Studies
330 Town Center Drive – Suite 710
Dearborn, MI 48126
Email: vijay@neurologicstudies.com
Phone: 313-228-0930 – Ext. 103

 

HGHRT Study

There are two parts below. Please make sure you fill out the general information form and the Authorization to Release Medical Information form below.

By submitting this form, you are agreeing to allow CNS to reach you to learn if you qualify for this study.

 

Authorization to Release Medical Information to CNS Form

Please fill out, sign and send or fax us the Authorization to Release Medical Information form below.

Please send the form to:

Center for Neurological Studies
Center for Neurological Studies
330 Town Center Drive – Suite 710
Dearborn, MI 48126
Email: vijay@neurologicstudies.com
Fax: (313) 228-0930
Phone: 313-228-0930 – Ext. 103