Have You Thought about Participating in HIV Prevention Research?
You can be part of local research efforts to prevent HIV worldwide. Anyone 18 or older may join our Research Registry to
be contacted to participate in HIV prevention research studies.
If you’re a man, a woman, or transgender person—if you’re straight, gay, or bisexual—if you’re HIV-negative, HIV-positive,
or don’t know your status—you’re welcome to join. For basic information about the clinical research process,
click here.
Completing this consent form enrolls you into this Research Registry and gives your permission for us to match you with
research studies you may be interested in and to use information provided by you. You will be emailed a password-protected
link so you can answer some medical and social questions. Our studies mostly look at developing new ways to prevent HIV such
as using microbicides, vaccines
and PrEP (pre-exposure prophylaxis).
There is no compensation for joining this Registry. But, if you are enrolled in a study you will be compensated for your
time and travel. Every study compensates differently based on what is involved in participation.
Only members of the HIV Prevention Research Registry staff will have access to your identifiable, self-reported medical
information and use this information in a confidential, HIPAA-directed manner. However, just as with the use of your medical
information for health care purposes, we cannot guarantee its privacy. Thank you.
- Please use your full legal name:
- Email address
Required
Invalid E-mail address
- Phone
Required
Invalid phone number
(XXX-XXX-XXXX)
-
(optional)
- Date of Birth?
required
Valid date no later than today
Must be at least 18 years of age
(MM/DD/YYYY)
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For additional information, email HIVRegis@pitt.edu, call 412-956-9686, or write to
HIV Prevention Research Registry, 3520 Fifth Ave., Ste. 510, Pittsburgh, PA 15213.
This registry is supported by funding received by the University of Pittsburgh from the National Institutes of Health
(NIH).
You may withdraw from the Registry by email at HIVRegis@pitt.edu or writing to
the address above. Questions you have about research participant rights are answered by the Human Subject Protection
Advocate at the University of Pittsburgh IRB Office at 866-212-2668.
IRB Number: CR19070263-005
Approval Date: 4/20/2023
Expiration Date: 4/19/2024
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