Get Undiagnosed Diseases Network Paper Application Process 2018-2025

This guide provides comprehensive instructions for completing the Undiagnosed Diseases Network paper application process online. The application is essential for individuals seeking diagnosis for undiagnosed conditions, ensuring a clear understanding of the required information.

Follow the steps to complete your application with ease

1. Click the ‘Get Form’ button to access the application form and open it in the editor for filling.
2. Identify if you are the applicant or a legal guardian of the applicant by selecting 'Yes' or 'No'. Confirm that the necessary parties have agreed to the information provided.
3. Fill in the applicant's name, relation to the applicant if applicable, and your own contact information, including email and phone number.
4. Complete the sections related to consent and research information, ensuring you understand the voluntary nature of participation and potential risks involved.
5. Provide the necessary applicant information, including date of birth, gender, race, ethnicity, and primary symptoms. Be specific and select the symptom category that best fits the applicant.
6. Document any environmental exposures that may relate to the applicant’s condition, and indicate whether any family members have similar symptoms.
7. Answer questions regarding travel limitations and previous experiences with research centers if applicable.
8. List the health care provider’s contact information who will receive updates about the application, ensuring all details are accurate.
9. Attach a signed study recommendation letter from a licensed health care provider, ensuring it is on official letterhead.
10. Review the completed application for accuracy, then save your changes before downloading, printing, or sharing the application as needed.

Complete the application process online today to advance your journey towards a diagnosis.