Request for intake call
Please fill out this form to request an intake call for participation in research in the Laboratory of Visual Neuroplasticity. Intake calls typically take 20-30 minutes. They give us a chance to learn more about your unique experience with CVI and help determine which our our studies would be a good fit for you/your child. You will also have a chance to learn more about our research and what participation entails! 
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Name of contact *
Contact's relation to participant *
Phone number *
Email *
Is there any particular days/times that would be convenient for a 30-minute phone call? Please check all that apply or write-in a specific day/time that would work well for you. 
How did you find out about our research?
Thank you!
Thank you for completing this form. Our study coordinator will be in contact soon through email to schedule an intake call. Please feel free to reach out directly to our study coordinator: cemanley@meei.harvard.edu Return to lab website 
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