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Already have a participant profile?
Simply complete the form below to create your online account. Once completed, you will be able to apply for a study!

New participant?
Complete the steps to create your new file. Once complete, you will be able to apply for the study of you choice!

Step 1

Personal Info

Date of birth *

Contact

Telephone
Numbers only

Step 2

Step 3

Portal access

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.
Please provide a valid email address. We will use it for all communication with you. I will in no circumstances be made public or shared.
PIPEDA/HIPAA Verbal Consent Agreement Message

Hello,

In order to better serve you, we must collect some personal information before we can give any details about our current research studies or give you an appointment for your health evaluation. This procedure allows us to verify if you fit the criteria for our clinical trials.

Your personal information will be kept under strict confidentiality and only our authorized employees, qualified government agencies and our sponsors will have access to it.

You can at all-time contact our Chief Privacy Officer to consult and modify your personal information or to remove your name from our contact list. If you would like to know more about our policy on the privacy of your personal information, please ask for our brochure at the screening center or write to our Chief Privacy Officer at 575 Armand-Frappier, Qc, Canada, H7V 4B3, or email: privacyofficer@altasciences.com or dial this number: (450) 973-6077 or (701) 356-4000.

Do you authorize us to collect the required personal information?

If you don't agree, we cannot give you details about on-going clinical studies or schedule an appointment with you for a health evaluation.

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