New IDEAS Study Information Request Form

New IDEAS Study Information Request Form

Thank you for your interest in the New IDEAS Study. Please fill out the following form, contact our patient helpline at 866-507-7254 and/or email newideas-participant@alz.org for more study information.

Please select all that apply:

I have a question about the study

I want to learn more information about the study

I need help with my saliva kit

I need help with my blood kit

I need transportation assistance to my amyloid PET scan

I need help finding a memory care doctor/specialist near me

I am/my loved one is participating in this study and want to share my/our experience with the study

I am interested in become a Study Champion

None of the above

Share Your Experience with the Study Team

We value your participation and feedback. Please share your experience with the New IDEAS Study to help us improve this study and future studies on memory loss.

Your Questions

What questions do you have about the New IDEAS Study?

What is a Study Champion?

Study Champions are trained volunteers who partner with community organizations within their region to spread information about the New IDEAS Study. Champions must live in near one of the following metropolitan areas - Chicago, Dallas, Houston, Los Angeles, Miami, Philadelphia/New Jersey, San Diego, Washington DC/DMV.

If you become a Study Champion, you will receive training on New IDEAS and learn how to build strong community relationships and cultural humility.

Submit your contact information and our Community Engagement Specialists will reach out to you with more information.

Your Contact Information

Please provide your contact information so our team can further assist you.

Your First Name

Your Last Name

Phone Number

Email Address

If you check this box, your contact information will be shared with New IDEAS Patient Helpline staff to further assist you.

I want to be contacted by the New IDEAS Patient Helpline Team

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