आपकी जानकारी सफलतापूर्वक भेज दी गई है।

We have submitted the contact information you provided to the research team at {{SITE_NAME}}. A copy of the message has been sent to your email for your records.

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संदेश भेजें

अध्ययन दल से जुड़ने के लिए अपना संपर्क विवरण दर्ज करें

प्राथमिक संपर्क

पहला नाम

अंतिम नाम

ईमेल

फ़ोन नंबर

Preferred way of contact

Race

Ethnicity

Are you Healthy Volunteer

Do you have Parkinson's disease?

Yes

Other language

I am at least 18 years old.

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मैं भविष्य में संबंधित नैदानिक परीक्षण अवसरों के बारे में सूचित होना चाहूंगा।