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Intake questionnaire

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

Applying to University of Utah Healthcare · Salt Lake City, Utah

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 Salt Lake City for study visits?