Clinical Trial Forms

As part of our dedication to upholding the highest research standards and a timely delivery of trial assessments, The Florida Institute for Clinical Research makes it easy to access our clinical trial and participant forms online. Simply download the document you need from the list below.

Patient Demographic Form for New Participants

Please download, print and complete the following form with your information. Upon completing, bring the form with you when you visit our office.

Medical History Form for New Participants

If you are new to The Florida Institute for Clinical Research, please download, print and complete this form before your first appointment.

Updated Medical History Form

If you are currently a participant at The Florida Institute for Clinical Research, but have had a change in your medical history, please download, print and complete this form before your next appointment.

Participants Medication History

For new participants, please download, print and complete this form with all current medications you are taking. Please bring it with you to your first appointment.

Medical History Form for New Participants - Spanish

If you are new to The Florida Institute for Clinical Research, please download, print and complete this form before your first appointment.









Worldwide there were 101,371 registered clinical trials in 2010 and 119,473 in 2011.
FLORIDA INSTITUTE FOR CLINICAL RESEARCH     |     407-658-0966     |     10967 Lake Underhill Rd #117, Orlando, FL 32825