Fibromyalgia Doctoral Research Study

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Participant Initial Interest Form (Confidential)

Recruitment Flyer

Full Name *

Are you between the ages of 18-45? *

YES

Are you a biological female? *

YES

Have you been formally diagnosed with fibromyalgia? *

Yes

Unsure

Do you currently have active symptoms related to a fibromyalgia diagnosis?

Yes

Unsure

Clear selection

Are you available to participate in a psilocybin session with a licensed facilitator in the state of Oregon? *

YES

Unsure

Preferred Contact Method *

Text

Call

Required

Phone Number

Email Address *

How did you hear about this study? *

What questions do you have?

Submit

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