Become a Participant

Hometown Urgent Care & Research (HUCR) is state of the art clinical research company dedicated to adult, pediatric and geriatric Phase II-III-IV clinical trials.


*First Name



*Last Name
Middle Name


*Day Phone


Evening Phone


Email Address


Study interested in


*

*Can we retain this information in our confidential database?

Yes No

*

*Can we leave a message on your voicemail about our upcoming studies?

Yes No Other:

*

*Would your like us to contact you with infomation regarding our future studies?

Yes No

Comments
 

 

THINGS TO KNOW

•About Clinical Trials
•Ten Things to know about
Clinical Trials

•Clinical Trials are Very Safe