Patient Registry for Herpes Simplex Virus Patients

Patients living with Herpes Simplex virus can join the Herpes Cure Advocacy patient registry to be alerted of clinical trials for which they may be eligible. If you have HSV and would want to be notified of clinical studies for new treatments please fill out this form.

Patient information will not be bought, sold, or shared with 3rd parties.

To be notified of upcoming clinical trials please fill out the secure, encrypted form below.
Please enable JavaScript in your browser to complete this form.
Patient's name
Infection Type
Gender ID
Permission & Agreement
I agree and give my permission to enter my personal information into the Herpes Cure Advocacy Official Clinical Trial Registry. I agree and give my permission to be contacted for clinical trials for which I may be eligible.

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