Depression – Ages 18 Through 65

Aspen Clinical Research is currently taking part in a clinical research study for adults ages 18 through 65 who have Depression. In this study, researchers are evaluating the effectiveness of an investigational antidepressant medication compared to an FDA approved antidepressant medication. No placebo is being used for this study.

To pre-qualify for this study, participants must:

• Be 18 through 65
• Have a diagnosis of Depression

Your first visit to the research clinic will be a screening visit. During this visit you will meet with a study coordinator to fully review study details. If you decide to participate, a more in-depth assessment will take place to determine your final eligibility. If you are eligible and choose to enroll, you will be required to return to our research clinic various times for treatment and follow-up visits.

Space in the study is limited. Health insurance is not required. All clinical visits, medications, and physical exams are provided at no cost. Participants may receive compensation for time and travel. If you are unable to complete the study for any reason, you will receive a compensation amount based upon the number of visits you complete.

Please complete the form below to see if you pre-qualify for the study.

Disclaimer: Not all individuals that complete the on-line questionnaire will qualify for the study. An in-depth study and medical evaluation must be completed in person in order to qualify for the study.

Study Questionnaire

First Name (required)

Last Name (required)

Email Address

Male or Female ?
---MaleFemale

Address/Street Name

City

State

Zip

Date of Birth (DD-MM-YYYY)(required)

Primary Phone (required)

Other Phone

Best Time to Call:
---MorningAfternoonEvening

Have you participated in a clinical research study at Aspen before?
---YesNo

Referral Source
---EmailWebsiteNewspaperTVRadioDirect MailPhysicianBillboardPosterFlyerFriendFamily

Referral Name

Have you been diagnosed with Depression? (required)
---YesNo

Are you currently taking an antidepressant medication? (required)
---YesNo

If you are taking an antidepressant medication, has it effectively treated your depression?
---YesNo

Please list the name, dose, and frequency of any medications you are currently taking:

Are you interested in learning more about other studies?

---YesNo

Before an individual can participate in a clinical research
study, Aspen Clinical Research is required to receive study participants medical
records from their primary care physician. Would you like to expedite this
process by taking 2-3 minutes to fill out the HIPAA (Privacy Act) form after clicking
the "Send" button below? (required)

---YesNo

Type the following in the input box