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.

1. Please use your full legal name:

   First Name:

   Middle Initial:

   Last Name:

2. Email address I don't have email, please call instead
3. Phone (XXX-XXX-XXXX)
4. Gender assigned at birth: Male Female        (optional)
5. Date of Birth? (MM/DD/YYYY)