MESA Registration Intake Form | The Multi-Ethnic Study of Atherosclerosis

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To help process your website access request, please provide the following information.

If this form does not address your website questions, please email mesawebsite@uw.edu.

What is your relation to the MESA study?

I am new to MESA

I am an established MESA investigator

I am a MESA staff member working at an active MESA site

Are you working with an established MESA investigator?

Yes

Please provide the name and email of the MESA investigator.

What are your research interests, and what information do you wish to access on the website (data, contact information, etc.)?

If you are planning a new research proposal, please provide a brief description.

Do you require data access for a recently-approved research proposal?

Yes

MESA dataset access must be preceded by a formal research proposal that has been approved by the MESA P&P Committee. Information about P&P review is available on the website.

Have you already contacted the MESA data manager regarding access?

Yes

Please provide the MESA designation (e.g. AE 111) for the approved proposal.

What site or reading center are you affiliated with?

Your Information

First name

Last name

Degree

Your email address:

We will use this information to contact you about this request.

Your institutional affiliation: