Adult Autism

Aspen Clinical Research is currently taking part in a clinical research study of an investigational medication for adults age 18 years and older who are autistic.

The purpose of this study is to see if it can help adults with autism manage certain social and communication challenges better.

The participant’s initial visit to the research clinic will be a screening visit. During this visit he/she will meet with a study coordinator to fully review study details. If he/she decide to participate, a more in depth assessment of the participant’s health will take place to determine final eligibility. If he/she is eligible and chooses to enroll, the participant will be required to return to our research clinic at various times for treatment with the investigational medication and follow-up visits.

Space in the study is limited. Health insurance is not required. All clinical visits, investigational medication, and physical exams are provided to you at no cost. You may be compensated for the time and travel involved for this study.

Please complete the form below to see if you pre-qualify for the study. All information you provide to Aspen Clinical Research will remain strictly confidential.

Disclaimer: Not all individuals that complete the on-line questionnaire will qualify for the study. An in-depth study and medical evaluation must be completed in person in order to qualify for the study.

Study Questionnaire

Potential Study Participant's First Name (required)
Potential Study Participant's Last Name (required)
Caregiver's First Name (If Applicable)
Caregiver's Last Name (If Applicable)
Best Email Address
Is Potential Participant Male or Female?
Address/Street Name
City
State
Zip
Participant's Date of Birth (MM-DD-YYYY)(required)
Primary Phone (required)

Other Phone
Best Time to Call:
Have you participated in a clinical research study at Aspen before?
Referral Source
Referral Name
Has the potential study participant been diagnosed with Autism? (required)
Is the potential study participant receiving any Autism treatment medications? (required)
If the potential study participant has been receiving prescription medication for Autism, has the dose been stable for 12 weeks or more? (required)
Please list the name, dose, and frequency of any medications you are currently taking:

Are you interested in learning more about other studies?

Before an individual can participate in a clinical research
study, Aspen Clinical Research is required to receive study participants medical
records from their primary care physician. Would you like to expedite this
process by taking 2-3 minutes to fill out the HIPAA (Privacy Act) form after clicking
the "Send" button below? (required)

Type the following in the input box