Unsplash Writing ResizedThank you for your interest in participating in a clinical research trial at the Alabama Vaccine Research Clinic at UAB. To expedite your check-in and appointment time, please complete the following forms and bring them with you to your appointment:

Instructions: Fill in each box (avoid the box labeled "For office use only") including your emergency contact(s). Indicate how you would like for us to contact you, sign and date.

Instructions: Fill in box numbers 1, 5, and 6. Complete the SSN in Part I. Sign and date.

Instructions: Check whether or not you would like to be contacted about other clinical trials at our location in the future. Fill in the information requested and sign and date under the response you chose (Yes or No).