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Thank you for choosing to become a member of the US HAEA Scientific Registry. Your participation is key to future medical research! This research will change lives – yours, those of your loved ones and everyone whose lives are affected by HAE.
Once the Registry Administrators verify that you qualify for membership, you will receive a confirmation letter along with a Consent Form to sign and return.
Your participation will make a difference!
To register to participate, please complete the entire form. If you have any questions about registration, please call 1-866-798-5598. NOTE: The information you provide will be kept strictly confidential