Research Trial Participation - Placement ~

Please complete this form for information about our Clinical Research Trials.

If you are interested in discussing placing a clinical trial with us, please complete the form below and someone from our Research Team will follow up with you.

If you are a Patient and would like additional information about currently active or pending Trials, or wish to be notified when a Clinical Trial is scheduled related to your Diagnosis, please complete the form below and someone from our Research Team will contact you. Our Research Team will keep your request on file.

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describing your request
:


Current Medical Diagnosis, History and Medications:


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Joanne Root, CCRC

Certified Clinical Research Coordinator


34041 US Highway 19 North, Suite A
Palm Harbor, FL 34685
Direct Phone ~ 727-216-0768
Fax ~ 727-786-7521

Email ~ research@advancedgastro.com

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Please contact us in our Palm Harbor office or complete the Research Contact Form.

Note: Be sure to download and complete the New Patient Forms before your visit.


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