Would you like to participate in oral care clinical trials?

T

hank you for your interest in participating in clinical research trials on oral care products conducted at our facility. Due to your involvement, all consumers benefit from the development or improvement of oral care products, while you receive monetary and other benefits.

We conduct research trials for oral care products that are currently marketed or being developed. All products tested are considered safe for use by the Food & Drug Administration. You are informed of any associated risks through your reviewing and signing an Informed Consent.

Your participation in these trials is voluntary. Your general and oral health would be reviewed by professionals. Upon qualification to a trial you are provided free test supplies and asked to follow specific directions in their use. Some monetary compensation and other free benefits (such as dental cleanings) are often available during your participation in the trial.

You may sometimes be alerted to conditions in your mouth that require further attention by your regular dentist or physician and are encouraged to see your provider for regular care. You may also elect to become a patient of record in our fee-for-service family and cosmetic dental practice.

To be eligible to participate in future oral care clinical trials, you must be an adult and in good general health. Please contact our office to schedule a free limited dental screening examination by completing the form below. Your contact information will then allow us to invite you when a trial you may qualify to is being conducted.

We continue to recruit actively for future trials and would therefore appreciate your assistance in informing family, friends and co-workers of the program. Please call if you would like study information sent to your office, church or other community group.

You are also invited to participate in free online surveys to provide your opinion on topics of interest. Your feedback leads to improved products and procedures which benefit all consumers. Your opinion counts!

Personal Information Questionaire

This information is for demographic classification only. Study-specific information will be obtained at Screening appointment. Thank you for your interest in Oracare Research.

Age:

What is the best time to call?: AM PM

Have you participated in clinical trials?: Yes No

Do you have any medical conditions?: Yes No

If so, please list:

How do you rate your oral health?:

Do you smoke?: Yes No

Do you presently have gum disease or decay?: Yes No

Have you whitened/bleached your teeth in past 6 months?: Yes No

Do you believe you have mouth odor?: Yes No

Do you presently wear ortho braces or complete/partial dentures?: Yes No

Do you have dental implants?: Yes No

Where did you first hear about ORACARE RESEARCH?:

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