Summit Research Network

2701 NW Vaughn St., Suite 350
Portland, OR 97210.

503-228-2273 (CARE)

e-mail: oregon@summitnetwork.com

For employment opportunities, please contact: oremployment@summitnetwork.com

Portland Patient Forms

After completing the form you may either bring the form
with you to your first visit or email the form to us at


Items marked with * are required

If contacting us about a pediatric study:

Note: We will respond to your email within 2 business days. If you have not received a response within that time, please check the Spam folder in your email program.