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I would like to participate in the study SIM-34233.

Thank you for your interest in joining our panel of healthy volunteers, please register by completing the on line questionnaire. If you are suitable, a member of our Volunteer Recruitment team will contact you to discuss the next step in joining our panel of healthy volunteers. Alternatively, please contact Volunteer Recruitment on Free phone 0800 691995 with any questions or to discuss any queries you may have. Thank you.

To enable us to make an assessment of your suitability we will need to ask you some personal details and health related information to assess your suitability for each clinical trial. This information will be held on a database and will only be used by Simbec Research Ltd to assess your suitability and will only be shared with companies that support us delivering our services. Under existing Data Protection Laws, you have a number of rights in relation to your personal data such as right to access, rectification and erasure where appropriate.

We occasionally conduct studies in patient groups so it would be helpful to us if you
completed all of this section

(must be a UK resident for at least 1 year)

(must be more than 3 months)

(Please contact if yes)


Males 9st 6lb
Females 8st


Smoking habits: *

(we test as part of the medical)

(must not have donated in the last 3 months)


Female Volunteers

Fields marked with an asterisk are mandatory.

Give us a call

Simply contact one of our recruitment staff who will be happy to take you through the initial process of joining our panel of volunteers.

0800 691995

By e-mail