If you would like to be considered as a potential clinical trial site and/or investigator for a future feasibility or clinical trial, please complete the following registration form in the next pages.
By completing this form, you understand and agree to receive communication via email or phone from SGS for business purposes. SGS collects, processes and stores your data in accordance with the applicable data protection regulation. For more information regarding our privacy notice, please visit our website: www.sgs.be/privacy-notice.
This registration form takes on average 20 minutes to be completed. As the information may not be saved when you close the survey before completion, please allot enough time to complete the entire form. All fields marked with an asterisk (*) are mandatory.
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Av. De las Américas, Centro de Convenciones, empresarial 2 oficina 6,
090505,
Guayaquil, Ecuador