Research Participation and Collaboration | NIA - Neurological Institute of Athens

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Research Participation and Collaboration

I want to participate in research as a volunteer

I am a clinician and want to refer a volunteer to participate in your research

I am a researcher and want to collaborate on NIA research projects

Clinician / Researcher Information

First name

Last name

Phone

Email address

Has the patient or their healthcare representative given permission for scheduling?

Yes

No

We require permission by the volunteer or their healthcare representative prior to scheduling, respecting their autonomy to medical research.

Volunteer Information

Title

First name

Last name

Street address

City

ZIP

Country

Birth date

Birth date: Date

Sex

Male

Female

Preferred method of contact:

Email

Phone

Either

Phone

Email address

Additional information

I have been given a neurological diagnosis or have symptoms that concern me

Yes

No

Please provide a brief summary on how you want to participate in research (e.g., as a healthy control participant, in observational research, in clinical trials)

I have already been evaluated at the NIA

Yes

No

I am interested to participate in the following project(s):

Multidisciplinary Expert System for the Assessment and Management of Complex Brain Disorders (MES-CoBraD)

Transcranial magnetic stimulation combined with Speech language Therapy in Primary Progressive Aphasia.

Calcitonin Gene Related Peptide Pathways in Clinicopathologically-Established Parkinson Disease (CGRP in CPPD).

Multiple Sclerosis (M.S.) Patient Support Program

I have received permission to securely share my notes and test results with the NIA

Yes

No

Not Applicable

Mention a few things on how we can collaborate on projects

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Contact info

The NIA is a clinical, research, and educational institute dedicated to neuroscience, with locations in Athens, Greece

main office: 51 Vas.Sofias Ave., Athens 10676 | 2 Vasileos Alexandrou Ave., Athens, 16121, Greece
tel. (+30) 210 7210482 | fax. (+30) 210 7210483
info@nioa.gr

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