PNS Member-Featured Clinical Trials Submission Form

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* 1. Your Contact Information (This information will not be listed on the webpage. We will only contact to confirm the listing or if we have any questions pertaining to the listing).

Full Name

Email Address

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* 2. Clinical Trial Title

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* 3. Link to Clinical Trial Online Listing

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* 4. Primary Investigator Information

Full Name *

Credentials *

Institution *

City/Town *

State/Province

Country *

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* 5. Co-Investigator Information (if applicable)

Full Name

Credentials

Institution

City/Town

State/Province

Country

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* 6. Contact Information (if you would like it listed)

Full Name

Email Address

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* 7. IRB Approval

Yes

No

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* 8. Brief Summary of Clinical Trial

If you have any questions, please contact: education@PNSociety.com.

Thank you for your submission. Please click 'Done'.