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Intake questionnaire

A Study to Evaluate ENERGI-F703 GEL in Diabetic Foot Ulcer

Applying to Mt. Olympus Medical Research · Houston, Texas

Answer a few short questions to share with the research team.

0 of 4 answered

1. Are you 18 years old or older?
2. Have you been diagnosed with Diabetic Foot Ulcer?
3. Are you currently pregnant or breastfeeding?
4. Are you able to travel to Houston for study visits?