Cortica Tourette's Research Interest Form
Gender:
Female
Male
Non-Binary
Sex:
Female
Male
Intersex
Which Cortica Research location is most convenient?
San Rafael, California (Northern California)
Glendale, California (Southern California)
I am not local but would be willing to travel (travel expenses are not reimbursed)
Has the participant been diagnosed with Tourette's Syndrome?
Yes, I already have a diagnosis from previous physician
No, I am seeking a diagnosis
Please select any medications tried for tics or Tourette's Syndrome:
Aripiprazole (Abilify)
Risperidone (Risperdal)
Haloperidol (Haldol)
Pimozide (Orap)
Guanfacine (Tenex, Intunive)
Clonidine (Catapres, Kapvay, Onyda XR, Nexiclon XR, Javadin)
Other(s)
