Study Volunteer Registration Form

You are over 18 years old, suffering from asthma/allergies/ COPD and are interested in participating in our medical research studies, then go ahead and fill out our Registration Form and we will get back to you.

Our Institute for respiratory diseases- Medaimun- offers a clinical examination concerning your pulmonary function, allergies and asthma at no charge, to check whether you qualify as a participant for one of our research studies. Every participant receives an appropriate incentive.


First name

Last name*

Age

Phone/Mobile

E-Mail*

Items with a * are REQUIRED.



For further questions please contact:

Institut für Atemwegserkrankungen – Medaimun
Kennedyallee 97a,
60596 Frankfurt
Telefon: 069/69 59 58 90-0
E-Mail: info@medaimun.de
You can find further information on our
current research studies here.

Thank you for your interest