If you qualify for a study at Miramax Clinical Research, you may be compensated for your time and travel.
By completing the information requested below you are permitting Miramax Clinical Research to retain this information in our files. If you prefer to speak to a screening coordinator in-person, please call us at (954) 363-1163 and ask to speak to the screening department.
We are located at:
150 NW. 168th ST, Suite 302
North Miami, Fl. 33169
AVAILABLE AT 8AM TO 6PM
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Thank you for your interest in studies at Miramax Clinical Research.
This form will allow us to collect information about your health history. Your participation in completing this form is completely voluntary.
Your information will only be seen by researchers at Miramax Clinical Research. The information we collect will be kept private and used only for research studies at Miramax Clinical Research. Your health information will not be shared without your permission or except as required by law. Information collected on this form will be stored in our secured recruitment database. If you agree to being included in the recruitment database, you can request at any time that your name and information be removed.
Don’t hesitate to ask us something. Email us directly firstname.lastname@example.org or call us at (954) 363-1163.