Clinical Trial Partnership Submission

This form is intended for pharmaceutical companies, biotechnology companies, clinical research organizations (CROs), sponsors, and other research partners interested in discussing potential clinical trial opportunities with Danesh Dermatology. Please use this form to submit information regarding a proposed study, site feasibility request, or other potential research collaboration.

This form is not intended for patients or prospective study participants. Please do not submit patient names, medical records, protected health information (PHI), or other confidential patient information through this form.

Patients interested in participating in a clinical trial should contact Danesh Dermatology through our general office contact information.