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This form is intended for adults 18 years of age or older. Please do not submit information about a minor. Any trial programs or research organizations that users may be introduced to through OpenRoad Studies's coordination service are independent organizations operating under their own protocols and eligibility criteria. OpenRoad Studies does not control, supervise, guarantee, or take responsibility for the protocols, eligibility criteria, safety monitoring, outcomes, or conduct of any independent clinical trial program. Users are encouraged to review all materials provided by any research organization and consult their own licensed healthcare provider before deciding to participate.

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Any trial programs or research organizations that users may be introduced to through OpenRoad Studies's coordination service are independent organizations operating under their own protocols and eligibility criteria. OpenRoad Studies does not control, supervise, guarantee, or take responsibility for the protocols, eligibility criteria, safety monitoring, outcomes, or conduct of any independent clinical trial program. Users are encouraged to review all materials provided by any research organization and consult their own licensed healthcare provider before deciding to participate.

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