Clinical Trial Inquiry Form - Terms and Conditions
1. Purpose of the Form:
This form is designed for individuals interested in participating in clinical trials conducted by NuovoMed Clinical Research LLC
Completing this form does not guarantee participation in any clinical trial or any compensation.
2. Information Accuracy:
All information provided in this form must be accurate and truthful as it relates to your eligibility to participate in a clinical trail. NuovoMed Clinical Research LLC reserves the right to disqualify individuals providing false or misleading information.
3. Confidentiality:
Personal information collected through this form will be kept confidential and used solely for the purpose of clinical trial recruitment. Data will be handled in accordance with NuovoMed Clinical Research LLC privacy policy and all applicable laws and regulations.
4. Eligibility Criteria:
Meeting the criteria outlined in this form does not guarantee eligibility for participation. Eligibility is determined based on specific criteria established for each clinical trial.
5. Consent to Contact:
By submitting this form, you consent to being contacted by NuovoMed Clinical Research LLC representatives for further screening and communication related to clinical trial participation.
6. Withdrawal of Consent:
Participants have the right to withdraw their consent at any stage of the inquiry process without any negative consequences.
7. Notification of Changes:
NuovoMed Clinical Research LLC reserves the right to modify the terms and conditions of this form. Participants will be notified of any changes.
8. Discretion of NuovoMed Clinical Research LLC:
NuovoMed Clinical Research LLC reserves the right to accept or decline any inquiry without providing reasons for the decision.
10. Contact Information:
For questions or concerns regarding this form or clinical trial participation, please contact NuovoMed Clinical Research LLC.
I acknowledge that I have read and understood the terms and conditions outlined above.