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Participate
In Our Medical Research Study
Click
Here to Begin
Questionnaire
We
are currently enrolling adults with chronic back pain into a new
medical research study. If you have this condition and would
like to be a part of the study, please click the button below
and complete a questionnaire to determine if you might be eligible.
Your
answers to the following questions will be used to determine if
you may qualify to participate in this research study using a
new FDA registered treatment. Answering and submitting these questions
in no way obligates you to participate.
We
understand that information about your personal health is very
private, and we are extremely sensitive to your need for confidentiality.
With your permission, the information you provide will be transferred
to a physician's research office in your area. If it appears that
you may qualify for the study based on your responses to the questionnaire,
a representative from the physician's research office in your
area will contact you to further determine your interest and eligibility.
Your personal information will not be disclosed to anyone
outside of this research study group without your consent. This website
uses Secure Socket Layer technology and encryption methods to protect your
information.
Click
Here to Begin
Questionnaire
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