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You will be invited to participate in research studies for the advancement of diagnostic technologies. Participation in these studies is voluntary. Regulatory Health authorities require that you be informed as completely as possible of the nature, purpose, and risks of participating in a research study where blood is drawn. We ask that you read this form completely and ask any questions you may have (via e-mail to info@biocollections.com) before agreeing to become a D/P (donor/participant).

In order to protect our D/P's we never divulge your identity to the research facilities thus guaranteeing complete confidentiality.

Please fill out the all fields in order to become a D/P, fields in bold are obligatories:

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Telephone:
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Fax:
+ Country code (City code) Number
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(mm/dd/yyyy)
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Part of BCW Integrated Systems version 2.92.0. Contact us at info@biocollections.com with comments or questions.