Surveys

This website is provided for information only. It does not provide medical advice and is not intended to replace standard treatment with your doctor. You are not obliged to complete the information forms on the CLINCO website. Information that is entered into this site is secured and will not be shared with anyone other than the CLINCO staff and will be used to determine appropriateness for screening for current and future studies. No claims are made of accuracy and no responsibility will be taken by CLINCO for events arising from the use of information provided.

If you are experiencing a medical emergency please dial 911.

If you would like to be contacted by CLINCO please complete the survey below that best fits the description of your symptoms. Upon completion of the survey please send the completed survey to pharshawat@clincoresearch.com. A CLINCO staff member will promptly contact you at the telephone number you have provided. If you have any questions you can contact CLINCO at 812-231-5200.

Surveys are available for download:
ADHD Survey (PDF)
Anxiety Study Survey (PDF)
Depression Study Survey (PDF)
Bipolar Depression Study Survey (PDF)