First Name
*
Last Name
*
Phone
*
Email
*
Clinical Trials of Interest
*
Acne (Greenville Location)
Binge Eating (Greenville Location)
Vitiligo (Greenville Location)
No elements found. Consider changing the search query.
List is empty.
May I confirm that a doctor told you that you have vitiligo?
*
Yes
No
Were you diagnosed with vitiligo more than 3 months ago?
*
Yes
No
Does your vitiligo affect your face, covering an area at least the size of a palm?
*
Yes
No
Do you have a minimum of 20 inflammatory lesions and 20 non-inflammatory lesions?
*
Yes
No
Are you between 18-55 years old?
*
Yes
No
Consent Checkbox
*
I agree to receive marketing messages from Palmetto Clinical Trial LLC,at the phone number provided above. Kindly reply "STOP" to unsubscribe.
Submit
Privacy Policy
|
Terms of Service