Congratulations on deciding to be a part of a clinical research study. We're very excited to have you participate. Before you get started, we must collect a HIPAA medical release form that allows us to review your medical records. All of your information and records will be kept secured and confidential and will not be shared with anyone outside our practice, you can rest assured that we will respect and protect your privacy.
Please click on the buttons below and complete each form.
* HIPAA- Health Insurance Portability and Accountability