Research Volunteer Form

The Corning Center for Clinical Research in Horseheads and the Certified Research Associates in Cortland are recruiting volunteers for various studies. These studies help medical professionals understand the effectiveness of a particular treatment.

Our participants are generously compensated for their time and travel.  

To be notified of upcoming studies or to learn more please sign up today or visit us online at smithallergy.com to learn more!

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Volunteer Name *

First

Last

Phone is Comment

Phone *

Email *

What is the age? *

• 0 -18 years (Requires parent/guardian)
• 19 – 29 years
• 30 – 39 years
• 40 – 49 years
• 50 – 64 years
• 65+ years

Parent/Guardian Name *

First

Last

Phone *

Email *

Preferred method of contact *

• Email
• Phone Call
• Both

Preferred Study Location *

• Horseheads, NY
• Cortland, New York
• Both

Topics of Interest (check all that apply) *

• Allergies
• Asthma
• Other pulmonary health problems
• Lyme Disease
• Vaccines

Other (please specify)

Comment or Message

Submit