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Please provide the following information so that we can contact you regarding enrolling in our current and upcoming studies, or feel free to contact us at (501) 553-9987.

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Clinical Trial Volunteer Forms

So that Preferred Research Partners can best serve your needs as a Clinical Trial Volunteer, we provide these forms to gather important information about you and your condition. Each of these forms can be downloaded for printing by clicking the link provided after each description.

Initial Evaluation

If you are participating in a sleep disorder Clinical Trial, the initial evaluation captures important information about your condition, current health, and medical history. This information is vital to the success of your clinical trial, and must be completed prior to your arrival at the Preferred Research Partners facility.

Authorize to Release Information - HIPAA (126 KB)

Medical Health Questionnaire (194 KB)

Registration Form (52 KB)

Initial Sleep Evaluation - For Sleep Studies Only (180 KB)

Initial Sleep Evaluation - Children - For Sleep Studies Only (423 KB)

Bed Partner Questionnaire

If you are participating in a sleep disorder Clinical Trial, please have your bed partner fill out this questionnaire. Their observations of your sleep disorder in your home environment provides powerful input into the trial process.

Bed Partner Questionnaire (18 KB)

Sleep Study Instructions

If you are participating in a sleep disorder Clinical Trial, please print out the sleep study instructions and bring them with you when you arrive at the Arkansas Center for Sleep Medicine facility for your scheduled sleep study.

Sleep Study Instructions (29 KB)