Register to Participate in Auckland Eye Research Clinical Trials

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Register for a Trial

Complete the form below if you are interested in participating in a research study and would like to join our clinical trials database. We will contact you if we think you may be suitable for one of our trials.

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Current or future trial*

First name

Last name

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Address

Street Address Suburb City Country

Gender

Date of Birth

Preferred method of contact

Preferred contact time

Specific areas/conditions

Message

Disclaimer

By submitting this form, you agree for your medical records to be reviewed by the Auckland Eye Research Team for eligibility and to be contacted by Auckland Eye for potential research trial opportunities. The information you provide will be retained in our clinical trials database. You can unsubscribe at any time by contacting research@aucklandeye.co.nz. Please refer to our privacy policy for further information.

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Register for a Trial

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