Research Study Application

In general, research projects conducted at MHNI involve individuals who can easily travel to the Institute for evaluation and treatment (generally within 100 miles of Ann Arbor, Michigan) and who fulfill specific enrollment criteria for each study. Please complete the following profile. A Study Nurse will contact you via phone to provide further information. Fields marked with an * are required.
Research Study Applicant Contact Information
Research Areas of Interest
How Did You Hear About Research at MHNI?
Questions/Comments For Study Nurse:

The message area below should not be used by individuals who have a clinical circumstance under question which needs direct involvement of a medical professional. Individuals who need direct involvement of a medical professional should contact him/her directly.

Providing this information is voluntary and will be kept as private as possible. Your information will not be sold or shared with other parties. By submitting this form we have your permission to securely and indefinitely keep your information on file or database and to contact you for possible participation in a future research study. Your information will be removed from the database at any time, just by contacting us.