To learn if you qualify to participate in the IBV Valve Trial you may complete our pre-screening questionnaire. This can be done by answering the questions below or, if you would like to speak to a live operator, you can call our toll-free call center number at: 877-547-8839.
The following medical questions will be used to determine if you may be eligible for this trial. This is the first step in qualifying. Some tests will also need to be completed at the clinical trial site. Some of the questions may be sensitive, such as questions about age, birth control, etc. Answering these questions is voluntary. You do not have to answer any questions you do not want to answer and you may stop at any time. If you meet these first entry criteria and you give permission, your information will be forwarded to a call center operator who is working directly with the clinical trial sites for this trial. The operator will check the questionnaire for completeness. If all the questions are answered, the questionnaire will be forwarded to the clinical trial site you have chosen. The Study Coordinator at that site will contact you to provide additional trial information and discuss your questionnaire in more detail, if needed.
This pre-screening questionnaire is used to determine if you are eligible for further screening at the clinical trial site. There is no guarantee that you will be selected to participate. Only the clinical trial doctor can determine if you are eligible to participate in this trial after you have completed a study screening visit, specific testing, and a clinical evaluation. If, based on the information you provide to us, you are not qualified for this clinical trial, your information will not be forwarded to the Study Coordinator.
Complete on-line Pre-Screening Questionnaire
Call 877-547-8839 toll-free to pre-screen with live operator