ASERF Aesthetic Research Community (ARC)

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Submit this form if you have a research idea you would like to discuss with a fellow The Aesthetic Society/ASERF member or simply submit your contact information if you would like to get involved in the Community.

Full Name (including credentials) *

Mobile Phone *

Email *

How would you prefer to be contacted by other Aesthetic Society/ASERF members that might wish to collaborate with you? *

Phone Call

Text Message

Other:

Required

List areas of research interest:

I would like an ASERF Aesthetic Research Community Committee member to contact me at this time to help me (check all that apply):

Refine my idea

Apply for an IRB

Apply for an ASERF Research Grant

Help write a study proposal

Help write a study survey

Help find a statistician

Find researcher/surgeon interested in collaborating on the same research topics

None of the above. I do not need to be contacted at this time.

Other:

Agreement:

I understand my intended purpose in completing this form and submitting it is to explore collaboration with another Aesthetic Society/ASERF member whose clinical observations, patient experiences or innovative techniques may be similar or complimentary to mine and who also wishes to more thoroughly investigate the idea that I have proposed. An ASERF member will act as an intermediary to connect interested parties. I understand that ASERF will not share any of my ideas other than with The Aesthetic Society/ASERF members who are “matched” with my interests via ARC.

Agreement:

By checking here, I agree that any papers arising from ideas submitted with this form will be submitted to the Aesthetic Surgery Journal for right of first refusal for publication.

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