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If you are interested in participating in a clinical trial as a Site or as a Principal Investigator, please send an e-mail to pi@maximax.com and someone from the Site and PI selection and management department will contact you for more detailed information. You may also complete the form below. All information will be kept confidential, in alignment with health privacy laws and regulations.
Note: All required fields are marked with an asterisk (*)
Note: All required fields are marked with an asterisk (*)
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| *First Name | |
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| Middle Name | |
| *Last Name | |
| *Address | |
| *City | |
| *State | |
| *ZIP | |
| *Phone | |
| Fax | |
| *E-Mail Address | |
| *Degree | |
| *Specialty | |
| *Sub-Specialty | |
| *Clinical Trials Experience | |
| *Prevalent Diagnoses in Patient Population |
If you choose to send us your CV form, please upload and send the file to pi@maximax.com. We will contact you within 24 hours for initial discussion.