Ready to join the MMJ Contact Registry?

To join, you will be asked to do the following:

Sign a consent form

On the next screen, you will be asked to read and sign a consent document.

Basically you are consenting to have your information stored in our secure database and allowing us to contact you about future research opportunities.

After reading the first 3 pages, you will be asked to fill in your name, add a digital signature, click “Today” for the date, and submit, if you agree to participate.

Answer questions

After you agree to participate, you will be asked to answer some basic questions about yourself including your contact and health information.

Participate in research

After you complete the questions, your information will be stored and will allow our team to contact you for future research studies.

Have questions? Call us at (352) 658-3735 or email us.