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Study Contact

Consent Form

W 9 Tax


(print pg 1 only)


 If you would like to participate in an upcoming study, please print and complete the three (3) forms below.  Your completed forms can be dropped off to the Clincal Studies Division at Therametric Technologies, Inc.  9880 Douglas Floyd Parkway, Noblesville, IN, 46060.  Our hours are 8:00am-4:30pm Monday-Friday. A drop-off appointment is highly recommended to ensure a member of our Clinical Studies team will be available to review and answer questions about your forms.  Please call: (317) 565-8079 or (317) 565-8083 or click here to email our clinical studies director to schedule an appointment.  To protect your privacy, we advise you NOT to put your completed forms in the mail.  



Study Enrollment Forms

Adult Demographic & Medical-Dental History Form

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