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Intake questionnaire

Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke Trial - Part 2

Applying to Kaiser Permanente West Los Angeles Medical Center · Los Angeles, California

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

0 of 4 answered

1. Are you between 18 and 80 years old?
2. Have you been diagnosed with Intracerebral Hemorrhage?
3. Are you currently pregnant or breastfeeding?
4. Are you able to travel to Los Angeles for study visits?