Gout Screening

Thank you for your interest in learning more about our clinical research opportunities. See if you may qualify by answering a few short questions. By filling out the interest form below, you consent to being contacted by our patient enrollment specialists via phone, text, or email with more information.

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Camp ID

First Name

Last Name

Select Gender

Gender

Date of Birth

Date

Language

Current Date

Date

Age

Primary Phone Number

Please enter a valid phone number.Format: (000-000-0000).

Secondary Phone Number

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Email

example@example.com

Metro Area

Zip Code

Metro Code

SiteId

State ID

CampRefID

Race

Ethnicity

Weight

Feet

Inches

Calculated BMI

Have you been diagnosed with gout for at least one year?

Have you ever had tophi?(Tophi are firm, often painless, chalky-white lumps that can form under the skin near joints, cartilage, or tendons—commonly on the hands, feet, wrists, or ankles)

Are you currently taking allopurinol?

In the past 12 months, have you had two or more gout attacks (episodes of joint pain caused by gout)?

Have you had kidney stones in the past year?

Have you had a major heart-related event that required hospitalization in the past year? (For example: heart attack, stroke, or heart surgery)

Eligibility Status