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Dr. Catalona's genetic research for prostate cancer
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Post-Op Advice for patients
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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: *
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

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