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Michigan Center for Skin Care Research

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586-286-7325

Atopic Dermatitis Study

  • Skin Care Research is seeking participants ages 12 – 54 to help test the safety and effectiveness of a biologic treatment for of atopic dermatitis.
  • This study is 24 weeks long and involves 7 visits to our office.
  • Enrolled participants are compensated for time and travel. Office visits and investigational medication are provided at no-cost as part of study participation.
  • If you would like additional information about this study, or to schedule an appointment to see if you qualify, please call our office at 586-286-7325.

Want to get involved with this trial? Fill out the trial request form below.



Clinical Trial of Interest* (Select all that apply)

NOTICE: HIPAA AUTHORIZATION REQUIRED TO USE THIS FORM. SIGNATURE FIELD BELOW.

HIPAA AUTHORIZATION. To the extent information in this form is protected health information under the Health Insurance Portability and Accountability Act, as amended, and its regulations (“HIPAA”), I authorize the use and disclosure of such information in accordance with this HIPAA AUTHORIZATION. I authorize the use and disclosure of all of the information that I have entered into this form (“Information”). I am the individual whose Information is included in this form or I am the personal representative of that individual. The purpose of this disclosure is to allow communication of the Information to a the medical practice from whose website I obtained this form. The Information will be disclosed to Dermatologists Of Central States and/or its information technology contractors (“Recipients”) in order to facilitate communication between me and the medical practice. I understand that I have the right to revoke this Authorization at any time prior to my submission of this form by simply not signing this Authorization, but once I sign this Authorization and submit the form, the Information will be disclosed to Recipients in reliance upon my Authorization. I understand that I am not required to sign this Authorization and that any medical practice making this form available on its website may not condition my treatment on whether I use this form to communicate with the medical practice. This Authorization has no expiration date.  I understand that the Information used or disclosed pursuant to this Authorization may be subject to re-disclosure by the Recipients and will no longer be protected by HIPAA. I hereby acknowledge that I may print a copy of this Authorization for my records.
TYPE YOUR FULL NAME BELOW AS SIGNATURE AND AUTHORIZATION*

THIS FORM IS NOT TO BE USED FOR EMERGENCIES OR URGENT MATTERS.
IF YOU HAVE AN EMERGENCY, CALL 911.

Click button below to submit your request securely.



Want to get involved with a trial? Fill out the quick trail request form at the button below.

REQUEST A CLINICAL TRIAL