Urological Research Foundation's home page
About the Urological Research Foundation
Prostate Cancer Questions & Answers
Quest Newsletter Articles
Past Quest Publications
Media articles and interviews with Dr. Catalona
Dr. Catalona's journal articles from various publications
Dr. Catalona's genetic research for prostate cancer
Dr. Catalona's genetic research for prostate cancer
Donate to the URF for prostate cancer research
View the New Patient Packet sent by Dr. Catalona
Post-Op Advice for patients
Contact the Urological Research Foundation

Dr. Catalona and the URF appreciate and need your support for their livesaving mission to support research and patient education in prostate cancer. Please consider a generous tax-deductible donation.

Genetics of Prostate Cancer Study Questionnaire

If you, your father, grandfather, uncle, brother, or son has been diagnosed with prostate cancer and you are willing to provide important help with the URF's genetic study on prostate cancer, please fill out the questionnaire below.

If you would like to talk to someone first, please call 312 695-4511 or 312 695-1406. (This number is only for questions related to the genetic research project.)

If you prefer to contact us via phone or mail, click here for contact information.

If you fill out the following questionnaire, a member of Dr. Catalona's genetic research team will contact you to explain the genetic study and your participation in it.

The information from national and international studies of families with a history of prostate cancer is the way to provide insights into the causes of prostate cancer and their possible treatments and cures.


Personal Information:


Please fill in the following fields for the research questionnaire.
* Denotes a required field.

First Name: *
Middle Initial:
Last Name: *
Address: *
Address2:
City: *
State: *
Zip Code: *
Phone #: *
Email: *

Family Diagnosis:


Please choose at least 1 family member diagnosed with prostate cancer.

Son Nephew Brother
Uncle Father Cousin
Grandfather Self
Other:


Home    |    About the URF   |    Q & A - Prostate Cancer   |    Quest Articles
Journal Articles   |    National Media   |    Genetic Research   |    Donations
New Patient Packet   |    Post-Op Advice   |    Contact Us   |    Terms & Conditions