Moyamoya Disease Revascularization Study Participant Enrollment Form

Moyamoya Disease Research Study Enrollment Made Simple

Conducting clinical research for rare cerebrovascular conditions like Moyamoya disease requires meticulous participant screening, informed consent documentation, and longitudinal outcome tracking. This Moyamoya Disease Revascularization Study Participant Enrollment Form provides medical research teams with a comprehensive, HIPAA-ready solution for enrolling patients into surgical intervention studies while maintaining regulatory compliance and participant safety.

Designed for Neurovascular Research Teams

This template is purpose-built for:

• Neurosurgery research coordinators managing multi-site surgical trials
• Stroke prevention centers investigating revascularization outcomes
• Academic medical centers conducting IRB-approved cerebrovascular studies
• Clinical trial managers tracking neurocognitive endpoints
• Vascular neurology teams researching stroke prevention interventions

Whether you're conducting a randomized controlled trial comparing direct versus indirect bypass techniques, or a longitudinal observational study of neurocognitive outcomes following revascularization, this form captures the critical baseline data, consent documentation, and randomization information needed for rigorous clinical research.

Comprehensive Participant Screening & Enrollment

The form guides participants and research staff through:

• Demographic and contact information for study coordination
• Detailed medical history including Moyamoya diagnosis, symptom presentation, and prior stroke events
• Imaging confirmation of Moyamoya disease via angiography or MRA
• Inclusion/exclusion criteria screening to ensure appropriate enrollment
• Randomization assignment for surgical approach (direct bypass, indirect bypass, or combined technique)
• Informed consent for cerebral angiography, surgical intervention, and long-term follow-up
• Baseline neurocognitive assessment scheduling for outcome measurement
• HIPAA authorization and research privacy protections

Streamlined Consent Documentation

One of the most time-consuming aspects of clinical research is obtaining and documenting informed consent. This Paperform template simplifies the process by clearly presenting:

• Detailed study purpose and procedures in accessible language
• Risks and benefits of cerebral angiography and bypass surgery
• Randomization process explanation
• Expected time commitments for follow-up assessments
• Data privacy and confidentiality protections
• Voluntary participation and withdrawal rights

Research coordinators can customize consent language to match their IRB-approved protocols, and participants can review information at their own pace before providing electronic consent. While this form is not HIPAA compliant for storing Protected Health Information, it serves as an excellent initial screening and interest capture tool, with data then transferred to your secure research database.

Integration with Research Workflows

Paperform's powerful integration ecosystem means this enrollment form fits seamlessly into your existing research infrastructure:

• Export to REDCap or other EDC systems via webhooks or API connections
• Notify research coordinators instantly via email or Slack when new participants enroll
• Sync with your CRM (HubSpot, Salesforce) to track recruitment metrics
• Feed data into Airtable or Google Sheets for real-time enrollment dashboards
• Trigger follow-up workflows using Stepper to schedule baseline assessments, surgical dates, and post-operative monitoring visits

Conditional logic ensures that only relevant questions appear based on participant responses—for example, patients who've had prior surgical intervention see different follow-up questions than treatment-naïve participants.

Neurocognitive Outcome Tracking Framework

Beyond enrollment, this form establishes the foundation for longitudinal outcome measurement by collecting:

• Baseline functional status and quality of life indicators
• Pre-operative symptom burden (TIAs, strokes, headaches, cognitive complaints)
• Scheduled dates for standardized neurocognitive testing
• Contact information for outcome assessment coordination
• Patient-reported outcome baseline measures

This baseline data is essential for measuring the effectiveness of revascularization surgery in preventing future strokes and improving cognitive function—the primary endpoints of most Moyamoya surgical trials.

Professional, Participant-Friendly Design

Medical research can feel intimidating to potential participants. This form uses Paperform's document-style editor to create a clean, professional experience that:

• Explains complex medical concepts in plain language
• Uses progress indicators so participants know how much remains
• Includes helpful descriptions for technical terms
• Provides ample space for questions and concerns
• Offers a reassuring, branded experience that builds trust

You can customize fonts, colors, and imagery to match your institution's branding, and embed the form directly on your research study website or share it via email to eligible patients identified through clinical care.

Built for Healthcare Research Standards

While Paperform itself is not HIPAA compliant, it's trusted by research teams worldwide for:

• SOC 2 Type II compliance ensuring enterprise-grade data security
• GDPR compliance for international multi-site studies
• Encrypted data transmission protecting participant information in transit
• Configurable data retention to meet institutional review board requirements
• Audit trails showing when participants completed each section

Many research teams use Paperform for initial screening and interest capture, then transfer enrolled participants to HIPAA-compliant research databases for ongoing data collection and protected health information storage.

Accelerate Your Moyamoya Research Enrollment

Recruiting sufficient participants is one of the biggest challenges in rare disease research. A well-designed enrollment form that's easy to complete and clearly communicates study value can dramatically improve conversion rates from interested patients to enrolled participants.

With Paperform's AI-powered form builder, you can adapt this Moyamoya template to other cerebrovascular studies, neurological trials, or surgical intervention research in minutes. The visual editor makes it simple for research coordinators—not just developers—to modify consent language, add new screening questions, or update randomization procedures as your protocol evolves.

For multi-site trials, Paperform's Agency+ plan allows you to manage separate forms for each participating institution while maintaining centralized reporting and data access, ensuring consistency across sites while respecting local IRB requirements.

Ready to Enroll Your First Participant?

This template provides everything you need to begin screening and enrolling participants into your Moyamoya revascularization study today. Simply customize the consent language to match your IRB-approved protocol, add your institution's branding, and share the form with eligible patients and referring physicians.

Paperform handles the technology so your research team can focus on what matters: advancing our understanding of Moyamoya disease treatment and improving outcomes for patients living with this rare cerebrovascular condition.