Prism Research is a phase I-IV, 52 bed, clinical trial site located in the heart of the Minneapolis St. Paul MN metropolitan area 651-641-2900

You need to download the latest version of the Flash player.

ADD YOURSELF TO THE DATABASE

IMPORTANT NOTICE!

Prism Research does NOT enroll volunteers who live outside of a 100 mile radius of the Twin Cites metro area. All volunteers must provide photo ID and proof of address before they can be enrolled into a study.

Please complete the form below to be added to out database.
(CLICK HERE TO REVIEW PRIVACY POLICY)

E-mail Address: *
Last Name *
First Name *
Middle Initial *
Gender *
Primary Phone Number *
Alternative Number 1
Alternative Number 2
Street *
City *
State *
Zip Code *
County
Date of Birth (Month - Day - Year) *
Race
Height in feet *
Height in inches *
Weight in pounds *
Tobacco Use *
If yes, type of tobacco:
Year Quit
Please list any chronic medical conditions (i.e. Diabetes, Hepatitis, Depression, high blood pressure etc.)
Please list any medications (prescription or over the counter) that you take on a regular basis
Female Volunteers Only
If you are of child bearing potential, please select your method of contraceptive:
Please list any food or medication allergies
Do you have any dietary requirements?
Are you interested in interested in a specific study
Where did you hear about us?
Additional comments or questions?

* Required

ACTIVE TRIALS | ADD YOURSELF TO THE DATABASE | FAQ | FACILITY DESCRIPTION | CONTACT US & DIRECTIONS

Website Design & Hosting By: Minneapolis Web Marketing.com