Bristol-Myers Squibb: Investigator Inquiry form
 
Investigator Inquiry Form
Like any other scientific endeavor, drug research and development is a complex, time-consuming, resource intensive process with no guaranteed results. Bristol-Myers Squibb is committed to pursuing such research and development and, in doing so, helping patients to prevail.

If you are an investigator interested in conducting clinical research with Bristol-Myers Squibb, please fill out this form.

*1.Designate your geographic location:

*2.What is your specific area of interest:
*3.Is there a specific study you are interested in?Study Number:
*4.Do you have previous experience in conducting clinical trials?
5.If yes, briefly list the type(s) of trials, when they were conducted and the companies they were associated with.
*6.Have you previously conducted any Bristol-Myers Squibb trials?
7.If yes, briefly list the type(s) of trials and when they were conducted.
8.Please provide us with the following contact information:
*First Name:
*Last Name:
*Email Address:
Company/Practice Name:
Address 1:
Address 2:
City:
State/Province/Zip:
*Country:
*Telephone (incl. country code):
Fax Number:
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