• VVC: Non-Pharmacologic Treatment

    Eligibility Pre-Screening Form
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  • PRIVACY POLICY

  • Contact Information

  • Thank you for your interest. Your submission will be reviewed and you will receive an email with determination of eligibility and further instructions. 

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  • Submit Form

  • By clicking SUBMIT, you agree to be contacted by Validcare or a designated Study Site (by phone or email) for the ONLY purpose of scheduling an in-person visit to further the eligibility determination process (if applicable).

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    • Logic keys and Transferable data (audit only, will be hidden)

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