Childhood Depression Study

Is your child struggling with feelings of Depression?

Would you like to learn more about a Clinical Research Study for an Investigational treatment for Depression in adolescents?

Join our Patient Database and we will call to let you know how you can participate.

If qualified, participants may receive modest compensation for your time and travel. The study will involve visits to a study site in your area

No health insurance is required to participate. You will receive all study-related care, from a participating physician.

What happens if I sign up?

Your child may be eligible for a depression clinical research study, also known as a clinical trial. Someone from the research site conducting the trial will contact you to explain more about this research study before you make your decision about participating.

Sign Up

Fields marked with an * are required.

If you are under the age of 13 (or 16 if you are in California or in Europe), you may not directly enter any information and your legal parent or guardian must enter this information on your behalf. By filling out this form, you are confirming that you meet these requirements.

Are you interested in this study for yourself or a loved one? *

First Name of Potential Participant *

Last Name of Potential Participant *

What is the Potential Participant’s date of birth? *

ZIP or Postal Code of Potential Study Participant *

Have you (or your child, if parent or legal guardian is completing the form) been struggling with ongoing feelings of sadness or irritability that interfere with your/their ability to function? *

Are you (or the child in your care) currently pregnant or breastfeeding or planning to become pregnant? *

Would you like to be contacted about taking part in a Clinical Trial for Children, Adolescents or Teens who may be experiencing Depression? *

Name of person to contact (if different from Potential Study Participant) *

Phone Number *

What is the best day/time to reach you via telephone (we know you are busy)? *

The information you are providing here will only be used to match you or a loved one to a clinical research study in the potential participant’s area and contact you to see if you or a loved one would like to participate. Please note the information you enter will be kept private, except when ordered by law, and only accessible to our Clinical Research Partners and affiliates and applicable regulatory agencies. If you have any questions regarding the handling of the information you have provided to autocruitment.com, or if you would like to make any changes, please contact us at info@autocruitment.com.

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