Contact us to learn more or refer a patient

Please complete the form below if you’d like to contact us to learn more or refer a patient to the spiriTED study.

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I am a physician or healthcare provider*

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I have a patient with TED who could be eligible for this study*

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I consent to be contacted by a member of the study team*

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Please enter your contact information.

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THANK YOU FOR CONSIDERING

the spiriTED study for your patient(s) with TED.

A member of our team will be in touch with you shortly.

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Completing this form will allow our study team to contact you for the purpose of discussing a potential patient referral and for possible further communication solely regarding this study. Your information will not be used for any other purpose.