Research Form

We are always looking for new participants for our research studies.

Most of our research is focused on testing new medications for the treatment of diabetes, hormonal disorders and sexual disorders or devices for the management of a health condition or to fulfil a health related need (e.g. contraception). Even if we do not have a study available for you right now we may get one soon.

Your participation in this research can help many other people with your condition by providing a more effective treatment option. You can also benefit directly through the trial medication and through the thorough medical care you receive by being on a trial.

Interested? Apply now

    Given Name

    Last Name

    Gender

    Date of Birth

    Contact Details

    Email Address

    Phone Number

    Street Address

    Suburb

    Postcode

    What health conditions do you have that you would like study treatment for?

    Prediabetes/Impaired Glucose toleranceDiabetes type 2Diabetic neuropathyLow libidoOveractive bladderPolycystic Ovary SyndromeEndometriosisFemale Orgasmic disorderLow testosteronePremature ejaculationErectile dysfunction

    Other

    Do you have any other medical conditions?

    What medications are you taking?

    Do you have any allergies?

    Do you currently smoke?

    Any further information you would like to add?

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