Complete this form to express your interest
Clinical trials have inclusion and exclusion criteria, so we need to ask a few questions to see if you are eligible.

If you are eligible, we'll get in contact ASAP and provide you with the full details of the study. If not, we can keep you in mind for future studies.

If you prefer, you can just give us a call on 03 9509 6166 or email us at and ask for more information on our studies.

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Email *
At what age were you diagnosed with Polymyalgia Rheumatica? *
Do you currently have pain in both shoulders? *
Was this pain associated with a reduction in your medication?
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Have you taken prednisone for your Polymyalgia Rheumatica for at least 8 weeks in the past? *
In the last 12 weeks, have you tried to decrease your dose of prednisone AND experienced worsening of your shoulder or hip pain? *
If you are on any current medications please enter them here (optional)
First Name *
Last Name
Phone number *
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