Nova Health Management & Research Group, PC

SENTINEL TRIAL NOTIFICATION REGISTRY

Please fill this form to be contacted about clinical trials


STUDY INTERESTS (please check ALL your areas of interest)

Please contact me regarding the following Current Actively Enrolling Studies:


Please notify me about emerging study opportunities in the following disease areas:


Other Disease or Disorder (please list):

How did you hear about our Research Center or any of our studies?


AGREEMENT:

By checking "Accept", you understand, the above information will be used by Nova Health Management & Research Group, PC in accordance with the Privacy Policy and Terms & Conditions as published on this website and you have read and consent to above the Privacy Policy and the Terms & Conditions. In addition you represent and warrant that either:

1. You are entering information about yourself and that you are at least 18 years of age, and that you will enter only accurate information about yourself; OR,

2. You are registering someone who is not be able to register themselves (including individuals under the age of 18 or someone who is unable to register without your assistance) and you are the registrant's legal guardian, parent or are an otherwise legally authorized representative; you agree to the terms outlined above; and you will enter only accurate information about the registrant.