Thank You — Your Information Has Been Received
Thank you for your interest in the Venous Leg Ulcer Clinical Research Study. A CTN team member may review your information and contact you to discuss possible next steps.
Submitting this form does not guarantee eligibility, enrollment, or participation in the study.
What Happens After Submission?
The process is simple, and the CTN team may guide you through the next step if your information matches the study pre-screening needs.
Form Review
Your submitted information may be reviewed by the CTN team.
Possible Follow-Up
A team member may contact you for additional pre-screening questions.
Study Visit
If appropriate, you may be scheduled for a study-related visit.
Important Notice
This form is not for medical emergencies. If you need urgent medical help, please call emergency services or contact your healthcare provider.
Contact the CTN Team
Have questions about your submission or the study process? You may contact CTN during business hours.