Immunotherapy Research Trial Questionnaire

The Center for Immunotherapy has many ongoing clinical trials and we are constantly opening new trials. Our research coordinator walks you through the entire process of cancer treatment but we first need to start with some information about you. Your information is kept confidential and only used to help determine eligibility for current and future cancer immunotherapy clinical trials.

You can also fill out this form if you are ready to visit Roswell Park and learn more about your treatment options.

* Denotes mandatory information

Personal Information
Contact Preferences
Clinical History