Join Medinexo's ResearchNexo Program
By completing this survey, you are expressing your interest in exploring clinical research opportunities over the Medinexo® global network.

Sign in to Google to save your progress. Learn more
Email *
Your Name *
Institution (one survey per institution please) *
Principal Investigator’s Name and Position at the institution *
Please indicate the medical specialty of Principal Investigator and years of experience with clinical trials, if any. *
Therapeutic Areas/Disease States/Interest, Experience/Phases I - IV, RWE, Pharmacoeconomics *
Describe your patient population (general demographics information, inpatient or outpatient, most common therapeutic area, disease states and medical conditions most frequently seen in the clinic, etc.)
Approximate # of Patients in Database
Your Comments
Submit
By providing the information above and submitting this electronic form, you are authorizing Medinexo, to use the information provided with the purpose of helping you explore opportunities for Clinical Research for you and/or your institution. If you are not a member already, please proceed to register at www.medinexo.com to be qualified for the ResearchNexo© Program.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of MEDINEXO. Report Abuse
Google Forms