If you would like to be considered for a study at the Autonomic Dysfunction Center we ask that you completely fill out the Autonomic Dysfunction Screening Questionnaire regarding your symptoms. It is very important that you include the information regarding all of your current medications. Your records cannot be properly evaluated without the requested blood pressure and heart rate determinations. You can fax or mail this in to the address below. Please send only copies. We will not be able to return any records to you.
Research Referral Nurse
Autonomic Dysfunction Center
1161 21st Avenue South
Nashville, TN 37232-2195
This information is used to determine what type of evaluation would be most appropriate for you or to see if you qualify for participation in a study. After we review this information, we will contact you to discuss a potential visit to our facility.
Or you can email us at email@example.com
This email is for Autonomic Research related inquiries only. We cannot address questions about the Autonomic Clinic (very different location).
For information about the clinic, please call the Vanderbilt Heart & Vascular Institute at 615-322-2318 or 800-288-5000, ext 22318 and ask for the Autonomic Clinic Assistant.