Thank you for your interest in Clinical Research at Virginia Women's Center. By completing the research questionnaire, we will add you to our database and then contact you if studies come up that you are interested in. Completing this form does not obligate you to participate. Also, please note: We are required to have your signature on file as permission to contact you, so after you complete the form, you will need to print it out, sign it and date it. You may then drop it off to any Virginia Women’s Center location or return it to us by mail at Clinical Research Department / Virginia Women’s Center / 2240 John Rolfe Parkway / Richmond, VA 23233. (It is not advisable to fax sensitive medical information.)
