Register for the Study

Please fill out the form below to register for the IPF Laser Study.

Prefer to send it by mail? Use this form instead.

    Patient Information

    Medical Information

    Biopsy Performed

    Have Blood-Oxygen Meter?

    Laser Therapy (if you've started)

    Being part of this study requires submission of copies of the results of all Pulmonary Function Tests (PFT’s), and Lung CT scan reports.

    * Note that all personal information will be kept confidential *

    Please mail copies of PFT’s and CT scan results to:

    Andrew Hall DC

    PO Box 1100

    Twain Harte, CA 95383 (USA)