Research

Requests for Patient Involvement in Research

FSH Society Research Participation Request Page

The FSH Society provides this FSHD research participation request page in an effort to connect patients to basic, translational and clinical researchers. This page contains requests from researchers, physicians, research clinicians and other health and medical professionals to FSHD patients and their families for participation in research and clinical trials.

Please contact the FSH Society with requests you would like to post.

Requests for Patient Involvement

Entries marked with a * are required

Please enter your personal information:

*	Name:
	Title:
	First:
	Middle:
	Last:
	Suffix:
	Degrees/Credentials:
		DDS
		DMD
		DO
		DVM
		DrPH
		MD
		PhD
		Other (specify):
		Other Doctoral Degree (specify):
*	Email:
Please enter your contact information below. You will have the opportunity to add additional contact records, if needed, to your request at a later time.
	Institution:
	University:
	Department:
*	Street 1:
	Street 2:
	Street 3:
*	City/State/ZIP:
	City:
	State/Province:
	ZIP/Postal Code:
	Country:
*	Phone Number:
	Fax Number:

	Yes, I would like to discuss a request for patient involvement with the FSH Society.
	Yes, I have a question about how to work with FSHD patients through the FSH Society.
*	Please enter your Request for patient involvement in research:

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