Currently Recruiting Clinical Trials

 
DUE TO TECHNICAL DIFFICULTIES, IF YOU HAVE MORE THAN ONE SURVEY PLEASE REQUEST A PDF TO FILL OUT INSTEAD OF THIS ONLINE SURVEY.

Thank you for your time in filling out this form. If you have any questions or concerns (or to request a PDF copy), please email the DOM Office of Research at DOMresearch@emory.edu or call 404-712-3280.
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1. Please indicate the level of advertisement you would like within DOM for this study (choose as many as apply):
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2. Full Title of Study
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3. Name of PI (or Co-PIs)
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4. Division
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5. Contact person for this study (e.g., Clinical Research Coordinator)
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6. Brief Inclusion Criteria
7. Brief Exclusion Criteria (optional)
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8. Primary Study Location(s)
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9. Is this study listed on ClinicalTrials.gov?
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10. Emory IRB number and any additional comments you may have: