See if your child may qualify.

A clinical research study is currently enrolling children 6 to 11 years of age with severe asthma. To see if your child may be eligible to participate, please complete the questionnaire below.

Keep in mind that answering and submitting these questions in no way obligates him or her to participate. After you submit these answers, you’ll have the opportunity to decide how long we can keep your child’s information and how we can use it. If it appears your child may qualify, your child’s information will be given to a physician’s office and you’ll be contacted to further determine your interest and your child’s eligibility.

Questionnaire.

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