Research Study. If my oral health problems or treatment needs could possibly qualify me for a clinical research study, I give permission for my information to be forwarded to the principle investigators.
Appears in 1 contract
Sources: Consent and Agreement for Treatment
Research Study. If my oral health problems or treatment needs could possibly qualify me for a clinical research study, I give permission for my information to be forwarded to the principle investigators.. Please Initial:
Appears in 1 contract
Sources: Consent and Agreement for Treatment