Your privacy is important to us. All information provided is confidential.

Please complete the form below.
If you are not applying to participate in a clinical research study, simply select "N/A".
Please select one.
Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Study Updates *
We occasionally send text or email notifications about upcoming studies that you may qualify for. Please opt in or opt out of receiving these notifications below. These notifications do NOT include appointment reminders.
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Address *
Address
Interests
Example: diabetes, migraines, arthritis, vaccines, pediatrics, etc.
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ClinPoint Trials

100 Professional Place
Waxahachie, TX 75165

Phone (972) 937-1640
Fax (972) 937-1642
E-mail info@cptrials.com