Accutane Gene Study Registration

Instructions

Please fill out this form in order to anonymously participate in the Accutane Gene Study.

After submitting the form, you will receive a 5-digit Participant ID at the email address you provide along with a link to instructions for participation.

Registration

Have you taken some form of Isotretinoin, also known as Accutane, RoAccutane, Claravis, Sotret, Myorisan, Amnesteem, Absorica, as well as by the chemical name 13-cis-Retinoic Acid (Isotretinoin)?

YesNo

This study is only open to individuals who have taken some form of Isotretinoin.

Are you prepared to purchase the Dirty Genes book, Ancestry DNA test, and Strategene report as outlined in the Study Requirements & Cost? (Note: unless you already have obtained your MTHFR test results elsewhere, in which case only the Dirty Genes Book is required.)

YesNo

You must agree to these purchase requirements to participate in this study.

Have you read, and do you understand and agree to, the informed consent for this study.

YesNo

You must agree to the terms and conditions to participate in this study.

Thank you. You have met all the participation requirements. Please enter your email address below to receive your Participant ID, and links to the Study Questionnaire and Instruction Sheet.

Your email

Accutane Gene Study Registration

Instructions

Registration

Title