Insomnia Study Interest Form
If interested, please fill out the information below to get in touch with the a member of our research team. We will make an effort to follow up in a timely manner to explore your interest and eligibility. We also encourage you to look at our website.

Please remember to click submit, and we will get in touch with you as soon as possible.

Disclosure: This is a non-paid study and your participation is appreciated, the treatment methods used are not 100% effective however the intention is to provide you with suitable treatment to meet your sleep health needs. Any information you provide us is strictly confidential and will not be shared with third parties. Any data collection will be anonymously analyzed. Your name and private information will not be published in any findings or material released to the public. PSPC is a HIPPA compliant clinic and treatments are provided by health care professionals.
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Your Name (first and last) *
How would you prefer to be contacted? *
Email Address
Phone Number
How can we be helpful in regards to your sleep health? Any further information we can provide?
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