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RISE for Research Interest Form
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1.
Name:
(Required.)
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2.
Email Address:
(Required.)
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3.
Organization:
(Required.)
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4.
Disease Category of Interest: (Check all that apply)
(Required.)
Rheumatoid arthritis
Seronegative spondyloarthropathies (including psoriatic arthritis, ankylosing spondylitis etc.)
Crystalline arthropathies
Infectious arthropathies
Systemic lupus erythematosus
Systemic sclerosis
Sjogren’s syndrome
Myositis Vasculitis
Antiphospholipid syndrome
Osteoporosis Osteoarthritis
Fibromyalgia
Other (please specify)
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5.
Area of Research Interest: (Check all that apply)
(Required.)
Quality
Safety
Telehealth
Comparative Effectiveness
Disparities
Epidemiology
PROs
Reproductive Health
Outcomes
Comorbidities
Cost
Resource utilization
Other (please specify)
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6.
Would you like to receive periodic updates on RISE for Research?
(Required.)
Yes
No
