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Noncancer Studies Contact Form

If you have a question or comment about noncancer studies at Mayo Clinic, please complete this contact form. Mayo staff members respond to inquiries within three business days. If you are interested in cancer-related studies at Mayo, please use the Cancer Studies Contact Form.

Information you provide is used only to address your inquiry and not shared outside Mayo Clinic. Communication by email is not secure. If you are not comfortable communicating with us by email, or do not read/speak English, please contact us at 800-664-4542 (toll-free).

Requestor Information
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Por favor, escribe tu primer nombre
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Por favor, escribe tu apellido
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Important: After submission, please do not leave this form until you see the confirmation message.

Mayo Clinic Number

Your Mayo Clinic number is a 7, 8 or 9-digit number we assign to you as a new patient prior to your first visit. You can find it near the top of a range of documents, including pre-visit questionnaires, clinical notes, care summaries, and correspondence.

If you do have Mayo paperwork handy, it's often quickest simply to look for it there. Scroll down to see some examples of how the number shows up:

In correspondence:

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

In pre-appointment questionnaires

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

In medical documents:

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

In dismissal summaries:

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information

In several other kinds of documents:

Image of Form: Authorization for Mayo Clinic to Disclose Protected Health Information
.

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