Zenos Clinical Research, Plano Texas

COVID 19 & Influenza Site Registration Consent Form

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Patient Consent

I understand that I will be receiving marketing text messages, emails, and phone calls from Zenos Clinical Research staff. I understand that I am providing consent for optional complementary services that may be offered by Zenos Clinical Research (in its sole and absolute discretion) or that I have requested and as agreed to by Zenos Clinical Research. I also understand that the medical conditions, medications, and demographics that I have provided will be added to the Zenos Clinical Research patient database. By signing below, I agree that I have reviewed and agree to the Zenos Clinical Research privacy policy attached to this consent form and that I acknowledge the opt-out provisions set forth in the privacy policy.

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Signature Certificate
Document name: COVID 19 & Influenza Site Registration Consent Form
lock iconUnique Document ID: c0ff957546fe4897622d0edce0f2163ebf760a7f
Timestamp Audit
December 9, 2021 1:42 pm CDTCOVID 19 & Influenza Site Registration Consent Form Uploaded by Tony Louis - [email protected] IP
May 25, 2023 12:19 pm CDTZenos Recruitment - [email protected] added by Tony Louis - [email protected] as a CC'd Recipient Ip: