Organization of Teratology Information Specialists

Sign Up For A Study

You can get involved with OTIS by sharing your pregnancy and signing up for an observational study. Fill out this quick form and see about qualifying today!

Regístrese Para Participar En Un Estudio Usted puede compartir su embarazo y participar en un estudio de observación de OTIS. ¡Llene esta forma breve para ver si califica para participar hoy!

1. Name/Nombre:

2. Are you (check all that apply)/Está (marque todas las que correspondan):

Currently pregnant/Actualmente embarazada

Planning a pregnancy/ Planificando un embarazo

Breastfeeding/Lactancia materna

3. For currently pregnant, please enter the FIRST day of your last menstrual period/ Si actualmente embarazada, por favor, inserte el primer día de su última regla: MM / DD / YYYY

4. E-mail/Dirección Electrónica:

5. Phone Number/Número Telefónico (Please put 10 numbers, for example (123)456-7890) ):

6. Zip Code/Codigo Postal:

Outside US and Canada / Fuera de los Estados Unidos y Canadá

 If you are outside the US and Canada/Si esta de los Estados Unidos y Canada 

This is your: / Esta es tu: Land line / Línea fija Mobile phone / Teléfono móvil

Provide your city, state, and country information / Proporcione a su ciudad, estado, y la información sobre el país

Request response in Spanish / Solicitud de respuesta en español

Additional Information

If you would like to be contacted by an OTIS research coordinator to learn more about study participation, eligibility and how you can contribute to available information about exposures in pregnancy, send an email to otisresearch@ucsd.edu, or call OTIS toll-free at 1-877-311-8972.

Research Study Participation Fact Sheet

Autoimmune Studies

Antidepressant Study

H1N1 vaccine, Seasonal Influenza vaccine, and Antiviral Medications in Pregnancy Study -A VAMPSS Project

Asthma and Asthma Medications in Pregnancy Study - A VAMPSS Project

HPV and Meningitis Vaccines in Pregnancy Studies - A VAMPSS Project

Follow Us

Search

Now you can get pregnancy and breastfeeding health tips from OTIS throughout the day! Join our network of Moms on Facebook & Twitter! Just search "OTIS Pregnancy."