INVESTIGATORS

If you are a M.D and a clinical trial investigator or a potential clinical trial investigator, ACTIVA8® is interested in getting to know you.
If you agree to be part of our clinical trial investigator data base, please complete the following information or send your resumé to our email: investigators@activa8.com. We will be contacting you.

IMPORTANT NOTE:
We follow the confidentiality local regulations; therefore, only under your documented authorization we will keep your contact information.

 
Investigator Database

*First Name:
*Last Name:
Title:
*Specialty:
Institution:
Telephone:
Mobile:
*Email:
Fax:
Address:
City:
State/Province:
Zip code:
Country:
*Comments:

* fields required to be completed
 

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