Clinical Trials Pre-screening Questionnaire

Please be advised that you will be asked to provide personal information in order to determine your study eligibility and for future contact. All information collected will be retained, in our system for 25 years as this is a regulatory requirement to determine eligibility for future studies. We understand the importance of protecting your personal/health information and as such, only authorized personnel will have access to your file. You can review How Apotex protects our research subjects' personal/health information (Adobe PDF - 45Kb) and procedures relating to the management of your personal information.

Feel free to contact us at (416) 741-4256 or toll free at 1-877-APO-CLNC (276-2562) for more information.

For more information review our Privacy of Information Policy.

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