Interested in participating in the CNS HGHRT Study? Download the official flyer and submit your details below:
(Click to enlarge and print the flyer)
For more information reach us at the number below or fill out the form below. We will contact you to see if you qualify for the study.
330 Town Center Drive – Suite 710
Dearborn, MI 48126
Email: vijay@neurologicstudies.com
Phone: 313-228-0930 – Ext. 103
There are two parts below. Please make sure you fill out the general information form and the Authorization to Release Medical Information form below.
By submitting this form, you are agreeing to allow CNS to reach you to learn if you qualify for this study.
Please fill out, sign and send or fax us the Authorization to Release Medical Information form below.
Please send the form to:
Center for Neurological Studies
Center for Neurological Studies
330 Town Center Drive – Suite 710
Dearborn, MI 48126
Email: vijay@neurologicstudies.com
Fax: (313) 228-0930
Phone: 313-228-0930 – Ext. 103