Download SEARCH Forms
Please review the cover letter, which explains the Initial Patient Survey and the SEARCH study. If you were diagnosed in 2007 or 2009, read this cover letter. If you were diagnosed in 2008, read this cover letterPlease click on the appropriate link below to begin the download of the SEARCH Initial Patient Survey (NOTE: this will require Adobe® Acrobat® Reader®; if you do not have it on your computer, click here to download).
If you are a parent/guardian of a child with diabetes, please download and print the Initial Patient Survey - Parent/Guardian. If you have diabetes and will fill out the form yourself, please download and print the Initial Patient Survey - Patient.
In addition to the survey, please download, print, read, and sign our patient privacy form. This form is required by the Health Insurance Portability & Accountability Act, which is new federal legislation to further protect personal health information. We need this form in order to register you or your child for SEARCH.
After filling out the survey completely and signing the patient privacy form, please send both forms to the SEARCH team by mail or fax:
Mailing address:
SEARCH for Diabetes in Youth
Children's Hospital and Regional Medical Center
Seattle Children's Hospital Research Institute
1100 Olive Way Suite 500/MPW 8-1
Seattle, WA 98101
Fax:
206-884-7802