Rare Lung Diseases Consortium
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For Physicians - About The Contact Registry

The RLDC Patient Contact Registry is a method by which patients (and their families) with rare lung diseases can register themselves to be contacted in the future about clinical research opportunities. An online Registry form exists for all the RLDC diseases currently being studied:

Download the Contact Registry Paper Form

New! The Rare Diseases Network has created a paper version of the Contact Registry form. This form can be downloaded by Physicians and Advocacy Groups in order to provide the form to those who need assistance outside the internet.

All forms are two pages, which MUST be printed on one sheet of paper (front and back). If you will be sending the form by US Mail: Once you have opened the form, select print from the file menu. When the printing dialogue box opens, the 2-side printing option can usually be found by clicking "properties."

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