The National African Americans with Multiple Sclerosis Registry
If you agree to take part in this project, please fill out the registration form below.
Once we receive your information, we will send you the first survey within a week and subsequent surveys from time to time.
Even if you sign up for the National African Americans with MS Registry, you may choose not to answer any of the survey questions or you may wish to stop your participation at any time in the future. If you decide to stop taking part in the Registry, please let us know by calling 503-216-6647 or 1-844-696-2666 or by email at firstname.lastname@example.org.
Please fill in the following information (red fields marked with are required for registration).