UC San Diego Center for Medicinal Cannabis Study

We are studying individuals with chronic low back pain who meet certain criteria. Because of the ease of returning for multiple visits, we would prefer to recruit people who live in the San Diego area. If interested, please complete the questions below and we contact you to obtain additional information to see if you qualify. If selected for participation in the study, you will be reimbursed for your time and trouble.

* 1. First Name

* 2. Last Name

* 3. Email Address

* 4. Phone Number

* 5. Preferred method of contact

* 6. Date of Birth

Date of Birth

* 7. Street Address

* 8. City

* 9. County

* 10. State