Ophthalmology & Visual Sciences at the Eye Institute

Ophthalmology and Visual Sciences

Acucela SeaStar Study for Stargardt Disease

Research Volunteer Form

Please select an option below.

Your Information

Please answer Yes or No to the following questions. (You refers to you or your family member as appropriate.)

Additional Information

By submitting this form, I acknowledge that I would like to be contacted about the Acucela and SeaStar Study and understand that submission of this form in no way obligates me to participate in this study.

We will contact you as soon as we can. Thank you for your patience.

If you have questions please contact Katie McKenney at (414) 955-7866.

Contact Ophthalmology

For patient care inquires, call us at (414) 955-2020 or use MyChart. Email is for research and education inquiries only.

Eye Institute Location

925 N. 87th St.

Milwaukee, WI 53226

 

Appointments

(414) 955-2020

(414) 955-6166 (fax)

 

Continuing Medical Education

Mary Schafer

mschafer@mcw.edu

(414) 955-7840

 

Medical Education Coordinator

Leslie Bencivenga

lbencive@mcw.edu

Refer to Us - Consultation requests

Physician Referral Form (PDF)

Fax to (414) 955-0136

 

Emergent Requests

Within 48 hours call

(414) 955-2020

 

Research

Vesper Williams

vewilliams@mcw.edu

(414) 955-7862

 

Advanced Ocular Imaging Program

aoip@mcw.edu

(414) 955-2647

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