St. Louis Clinical Trials Request Information

Wednesday, May 14th 2008

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C.A.R.E. Clinical Research is one of many sites performing investigational drug studies in the United States. Currently we are studying new treatments for Emphysema, COPD, Bronchitis, Asthma, Hypertension and Atrial Fibrillation. If you are interested in participating or learning more about any of these areas please fill out this form or call 314-909-9779 and one of our staff members will . If you live more than 100 miles outside of the Saint Louis area visit our medical links page to view the national recruiting websites for clinical trials.

Name:
Address:
City:
State:
Zip:
Email:
Phone:
Please choose which therapeutic area(s) you are interested in
Have You Ever Smoked Cigarettes?	Yes No
Do You Have Emphysema?	Yes No
Do You Have Chronic Bronchitis?	Yes No
Do You Have Asthma?	Yes No
Do You Have Hypertension (high blood pressure)?	Yes No
Do You Have Atrial Fibrillation?	Yes No
Do You Have High Cholesterol?	Yes No
Do You Have Diabetes?	Yes No
Anything Else You Would Like To Tell Or Ask CARE Clinical Research?

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