HealthTech Connex
Centre for Neurology Studies

Are you looking to participate in a clinical trial?

Please fill out the form below to register your interest.

Do you consent to be contacted by our organization (HealthTech Connex) for future studies that you may be eligible for?
 Yes No

Do you consent to be contacted by an affiliate organization (e.g. a hospital, university, medical device company, etc.) for future studies that you may be eligible for?
 Yes No

Do you consent to be contacted when new neuroplasticity therapies become available?
 Yes No

Please state your neurological condition(s) (optional)

Your Full Name (required)

What city do you live in? (required)

Your Phone Number (required)

Your Email (required)

What is the best way to contact you?
 Email Phone call Text message

What is the best time to contact you?
 Weekday (Daytime) Weekday (Evening) Weekend (Daytime) Weekend (Evening)

Contact Us

For more information about HealthTech Connex or the Centre for Neurology Studies, please feel free to get in touch with us directly.


Address
: Unit 201, City Centre 1, 13737 96th Avenue, Surrey B.C. Canada

T: 604-639-9057

E: trials@healthtechconnex.com