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Who is eligible?
Any person who has been diagnosed with ALS by a physician can enroll into this registry.
The information you provide in the ALS registry will be used to evaluate variations in patient care, adherence to standards of care and also to help foster ALS research. An additional focus of this website will be to educate participating patients and visitors to this site about ongoing ALS research.
To begin, please register with ALS Connection. As part of the registration process you will be asked to read a consent form as well as a HIPAA form. Please read these forms carefully. If you have any questions please contact the coordinating site listed below.
If you agree to participate in the ALS registry, you will receive a confirmation email from the coordinating center acknowledging receipt of your informed consent and HIPAA forms. You will be issued a participant ID # and given an opportunity to enter your data into the ALS registry. If you do not complete the survey you will be able to return to finish at another time by logging in using your email address and password. Once you complete your survey, you will be contacted every 6 months and reminded to complete a follow up survey about your current health status.
If you do not get a confirmation e-mail within 12 hours of signing in then we had trouble reaching you. Please call 415-600-3938 to ensure that we have received your data.
If you have any questions about ALS Connection, please contact: Stacey Champion at ChampiS@cpmcri.org or Giovanna Kushner at kushneg@sutterhealth.org
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