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Study Inquiry Form (please only submit one inquiry)

Please complete the form as thoroughly as possible to help us find the best trials to support your health needs

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This will help us find the best study fit for you.

(You may enter multiple)

Do you consume any type of nicotine?
Do you consume any marijuana?
Gender At Birth
Male
Female
Birthday
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Mes
Año
How did you hear about us?

Consent to Be Contacted and Use of Health Information

I voluntarily consent to be contacted by Hero Clinical Research regarding participation in current or future clinical research studies. I understand that the information I submit, including any health-related data, may be used to determine my eligibility for research opportunities.

I understand that my information will be kept confidential and handled in compliance with applicable laws, including HIPAA (Health Insurance Portability and Accountability Act), and will not be shared outside the study team without my permission.

Single choice
I Consent
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