Psoriatic Arthritis Clinical Trial Questionnaire | Medvin Clinical Research | California

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Psoriatic Arthritis

Thanks for your interest in our clinical trial at Medvin Clinical Research. We will review your responses and get back to you shortly.

First Name

Last name

Phone

E-Mail

Birthday

Address

Gender

Race

Do you have a diagnosis of Psoriatic Arthritis?

Are you at least 18 years of age?

Do you have a history of malignancy in the past 5 years?

Do you also have Plaque Psoriasis?

Have you had an inadequate response or intolerance to any medication that you’re taking for Psoriatic Arthritis? If so, which one?

Any other major medical conditons?

Anything else you would like us to know?

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info@medvinresearch.com

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Cerritos, CA 90703

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