• 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.

  • Select Gender
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Current Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000-000-0000).
  • Format: (000-000-0000).
  • Race
  • Ethnicity
  • Has a doctor ever told you that you have Rheumatoid Arthritis (RA)?
  • Has a doctor ever told you that you have any other autoimmune or inflammatory joint condition (besides RA)? (check all that apply):
  • Have you ever taken any of the following common RA medications? (check all that apply):
  • Have you ever taken a JAK inhibitor for RA? (JAK inhibitors are prescription pills for RA.) (check all that apply):
  • Did any RA medication you’ve taken:
  • In the past 4–8 weeks, have you received any of the following?
  • Should be Empty: