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Intake questionnaire

Artesunate Ointment for the Treatment of Anal HSIL in HIV-negative Participants

Applying to Anal Dysplasia Clinic MidWest · Chicago, Illinois

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 Anal High-grade Squamous Intraepithelial Lesion?
3. Are you currently pregnant or breastfeeding?
4. Are you able to travel to Chicago for study visits?