Biorepository of Patients with Hidradenitis Suppurativa (HS): Determination of Potential Predictors and Moderators of Treatment Response in Patients with Hidradenitis Suppurativa (HS) Interest Form

The information you provide here will only be seen by the research team for this project. We will contact you to provide you with more information and answer your questions so you can decide if this project is a good fit for you.

Please do not use this form to send personal health information. If you are in need of immediate medical care, contact your nearest emergency room or call 911.

First name

Last name

Phone number

How do you prefer to be contacted?

Phone

What is the best time to call you during the work week?

Comments

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.