The Portal Registration form is intended for participating researchers who would like to gain access to MATIC2 resources. If you believe that you have been assigned a Portal account but you do not know your password, please ‘Quit’ and use the ‘Forgot your password?’ option that is available on the Login page.
To request access to MATIC2 Researcher Portal, please fill out the form below and we will send you a link you can use to set a password and finish your profile.
First Name: * First Name is required.
Last Name: * Last Name is required.
Address: * Address is required. (Work/Department address only)
City: * City is required.
State: * State is required.
Zip: * Zip Code is required.
Work Email: * Email Address is required. (Please, no personal email address) *
Phone: * Phone is required.
Name of Site (or Practice): * A Site must be selected from the drop down list. All (126 / All) Arizona (23 / AZ) Arkansas (14 / AR) Children's National Hospital - Washington DC (11 / Children's DC) Children's Utah (6 / Children's Utah) Children's Wisconsin (8 / Children's WI) Dallas (12 / Dallas) Emory - Arthur M. Blank Hospital (19 / Emory - Arthur M. Blank Hospital) Emory - Scottish Rite (20 / Emory/Scottish Rite) Le Bonheur (13 / Le Bonheur) MATIC2 Clinical Coordinating Center (99 / CCC) MATIC2 Data Coordinating Center (98 / DCC) Mississippi (15 / MS) Nationwide Ohio (21 / Nationwide OH) New Mexico (10 / NM) Oregon Health and Science University (7 / OHSU) San Diego Children's Hospital (24 / SDCH) St. Louis Children's (16 / SL Children's) Texas Children's (2 / TX Children's) Tulane (3 / Tulane) UC Davis (22 / UCD) University of Texas - Houston (5 / UT Houston) University of Texas Health Science Center San Antonio (4 / UTHSCSA) University of Washington (17 / UW) UPMC Children's (1 / UPMC) Vanderbilt University Medical Center (18 / VUMC) Wake Forest (9 / WF)
Project Role Information
available
selected
The Project Role will default to a generic "Researcher" role. Choose a role from those available that best matches your role within MATIC2.
* For security purposes, please enter the sum of these numbers: 3 + 4 =
Thank you for your interest in MATIC2. When your request for access has been approved you will receive email with a link to access the MATIC2 Researcher Portal.