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Thank you for your interest in South Carolina Clinical Research. Clinical trials are scientific research studies designed to find better ways to treat or prevent diseases. Our goal is to help you make an educated decision about participating in a clinical trial and to help you understand the clinical trial process.

Please fill out the Interest Form below if you are interested in participating in one of our clinical trials. We will contact you within 48 hours to speak with you. You may also speak with one of our receptionists directly at 803.988.1438. We look forward to hearing from you.
 

First Name: *     

 Initial: * 

Last Name: *
 
Date of Birth: *          
Address: *  
Address 2:  
City: *  
State: *    
Zip Code:  *
 
Evening Phone:    
Daytime Phone:  *
 
E-mail: *  
   
Current Medications:  
   
 
 
What types of studies interest you? (you may check more than one)
 
  Depression   Bladder Leakage
    Diabetes     Birth Control
    Sexual Dysfunction     Constipation / Diarrhea
    High Blood Cholesterol     Menstrual Problems
    Menopausal Symptoms     Fibroids
    Osteoporosis     Endometriosis
    Weight Gain     Skin Disorders
    Gastro-Intestinal Symptoms     Vaginal Infections
    High Blood Pressure     Herpes
    Migraine     Abnormal Pap Smears
    Overactive Bladder        
               
Comments or Questions?