Chlamydia Treatment

Have you had a Chlamydia or Gonorrhea infection within the past 4 months?

Would you like to try an investigational product for the prevention of Chlamydia and Gonorrhea at no cost to you?

Sign up and we will notify you of clinical trials in your area that need women 18 years of age or older who have had a Chlamydia or Gonorrhea infection.

Participants will receive approximately $800 for participating in the study.

No health insurance is required to participate. All study-related visits, tests, and investigational product will be provided at no cost. The study will involve visits to a study site in your area.

What happens if I sign up?

You may be eligible for a Chlamydia and Gonorrhea prevention research study, also known as a clinical trial, in your area. Someone from the study team or study 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.

First Name *

Last Name *

Date of Birth MM/DD/YYYY *

Zip Code or Postal Code *

Phone Number *

Email Address

Are you Male or Female? *

Have you had a Chlamydia and/or Gonorrhea infection, in the past 4 months (16 weeks)? *

If yes, are you able to get documentation for the Chlamydia and/or Gonorrhea infection? *
Documentation can be any of the following:

Laboratory report(s) confirming the Chlamydia and/or Gonorrhea infection
Copy of a clinic note from the date of diagnosis confirming the Chlamydia and/or Gonorrhea infection
Pharmacy or clinic note for antibiotic therapy used for treatment of the Chlamydia and/or Gonorrhea infection

Please Note: You will be asked to bring this documentation to your first visit.

If female, are you currently pregnant or breastfeeding?

Are you currently participating in a clinical trial for an investigational drug or device? *

Do you agree to use birth control while on the study? (acceptable types of birth control can be discussed over the phone) *

Please provide any alternate phone numbers and the best day/time to reach you via telephone (we know you are busy)? *

Would you like to be contacted about taking part in a Clinical Trial that you may qualify for? *

Yes

The information you are providing here will only be used to match you to a clinical research study in the potential participant’s area and contact you to see if you 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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