Thank you for your interest in the skin care trials being conducted at Zel Skin & Laser Specialists. Please complete this form if you would like to be entered into the general database for clinical trials being conducted now or in the future. By completing this form in no way obligates you to participate in a clinical trial. You may modify or withdraw your information at any time by following the instructions listed below.
The information you provide will be made available to Zel. If your profile meets the needs of a particular study, a research coordinator from Zel will contact you directly via telephone or email. If it is determined that you would meet the criteria for a study, you will be required to make office visits to Zel located in Edina, MN. If a minor will be participating in a clinical trial, they must be accompanied by the parent or legal guardian and must provide proof of the relationship.
A parent or legal guardian may complete the form on behalf of a minor (under the age of 18 years). All contact information must be completed with the parent or legal guardian’s information (an asterisk will precede this information – *) All other database information will need to be completed regarding the minor.