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          Current Clinical Trials - Diabetic Neuropathy, Multiple Sclerosis - MS, ALS, Alzheimers & Amyotrophic Lateral Sclerosis
          Alzheimer's
          Diabetic Neuropathy (NEW)
          Diabetic Peripheral Neuropathy
          Parkinson's

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          		We are a group of San Diego area neurologists committed to conducting clinical studies in our communities. If you would like to be contacted about participation in current and future research studies, please complete this form to be added to our participant database.

          Clinical Trial Application
          Name
          Date of Birth mm/dd/yyyy
          Sex
          Height ft   in
          Weight lbs
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          Diagnosis Alzheimer's Disease
          Parkinson's Disease
          Diabetes Type I
          Diabetes Type II
          Diabetic Neuropathy
          Multiple Sclerosis
          ALS (Lou Gehrig's Disease)
          Emotionality
          Date Diagnosed
          Email
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          Peripheral Neuropathy Trials / Treatment / Research in San Diego Multiple Sclerosis Trials / Treatment / Research in San Diego (MS) Alzheimer's Disease Trials / Treatment / Research in San Diego Amyotrophic Lateral Sclerosis Trials / Treatment / Research in San Diego (ALS) Parkinson's Disease Trials / Treatment / Research in San Diego
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