If your are selected to be evaluated for a cannabis research study, a member of IMPACT Network's team will contact you directly. All information collected will be kept confidential in compliance with HIPAA regulations. This information will only be used to match you to potential clinical research studies matching the indications selected.
If you have any questions about this form or or clinical research studies, please contact email@example.com. IMPACT Network is a 501c3 nonprofit organization based in Denver, CO.