APIKIDS

A Collaborative Research Project

PARTICIPATION FORM

Children Health After Assisted Reproductive Technologies
- A Pooled Analysis   (APIKIDS)

If you are interested in participating in the APIKIDS project, please complete the following form.

Questions can be directed to Dr. E. Taioli at
emanuela.taioli@downstate.edu

Date:

Please include sources of data, both published and unpublished, which you consider relevant to the study:

Principal Investigator Name:

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Address:

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Telephone Number:

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Fax Number:

E-mail:

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Person(s) in charge of data management and analysis (if different):

Address:

Telephone Number:

Fax Number:

Email:

Security Code: *  
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