Associates In Research, Inc.

Note to Investigators: We are only looking for investigators working within Central California.  See www.centerwatch.com for those centers within your area.

Investigator Interest Form

1. Have you ever been a Principal Investigator for a pharmaceutical research study?

Yes

No

If you answered yes, briefly describe the study-(ies) below. (Condition being treated, medications, pharmaceutical

2.  If you are interested in completing a study, what type of study would you like to investigate


3. Any additional Comments:

Name:

Field of Practice

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

Fax

E-mail:

Phone: 559-432-8018
Fax: 559-432-9221
Email: sergio@assoc-in-research.com