Faustman Lab Patient Registration Form
If you are interested in enrolling in the Faustman Lab's clinical trials or would like to schedule an appointment to give a blood sample, please download and complete our Patient Registration Form, which can be found below.
You may return the completed form by attaching it to an email addressed to diabetestrial@partners.org. If you prefer, you may also fax the completed form to 617-726-4095 or mail it to the following address:
Clinical Research Coordinator
Massachusetts General Hospital
Immunology Lab - Diabetes Research
CNY, 13th Street, Building 149, Room 3603
Charlestown, MA 02129
Download the form as a Word Doc (use to fill out onscreen and return via e-mail)
