Participate in Kadima's Research Studies!
Thank you for your interest in participating in Kadima's clinical trials for mental health. We appreciate you taking the time to fill out this form. The information you provide will help us determine if you are eligible for one of our trials. If we find a study that you may be a good fit for, we will reach out to you to start the pre-screening process. This process will help us confirm your eligibility and ensure that you understand the risks and benefits of participating in the trial. If you are eligible and consent to the conditions of the trial, we will enroll you in one of our studies. Our studies take place at Kadima Neuropsychiatry Institute in La Jolla, CA. We understand that you may have questions about clinical trials. We encourage you to contact us if you have any questions or concerns. Your privacy is important to us. All of the information you provide will be stored on a HIPAA-compliant server. We will only use your information to assess and communicate your fit for clinical research and treatment opportunities at Kadima. Thank you again for your interest in Kadima's clinical trials. We look forward to hearing from you soon. Sincerely, The Kadima Team
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Diagnosis
Depression (MDD)
Treatment-Resistant Depression
PTSD
OCD
Addiction
Substance Abuse
BIPOLAR
Eating Disorder
General Anxiety Disorder (GAD)
Schizophrenia
None
Other
Do you have any other health conditions that you would like to share?
Any thing else you would like to add?
Are you able to come to our La Jolla (San Diego) office for the study visits?
Yes
No
Would you like to be contacted about Kadima's future research studies you may qualify for and potential therapeutic options that may suit your needs?
Yes
No
Submit
Should be Empty: