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Intake questionnaire

Feasibility Study for the SIRA-1000, SIRA® RFA Electrosurgical Device as an Adjunct to Breast Conserving Surgery

Applying to University of Texas Medical Branch at Galveston, TX · Galveston, Texas

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

0 of 4 answered

1. Are you 50 years old or older?
2. Do you identify as female?
3. Have you been diagnosed with Breast Cancer?
4. Are you able to travel to Galveston for study visits?