About the Clinic


The Northwest Clinical Research Center has been conducting clinical trials for over 15 years.  We have been extensively involved in research leading to the development of medications for depression and schizophrenia such as Seroquel, Risperdal, Zyprexa, Prozac, Zoloft, Paxil, Wellbutrin, Effexor, Lexapro, and Abilify.  Over ten thousand patients have been evaluated for clinical trials at NWCRC.   Call us at 877.453.0404 or visit our website at www.nwcrc.net for more information.


Questionnaire:


Do you have a history of any of the following?

 Seizure Disorder Stroke Head Injury Brain Tumor Cancer NONE

Please let us know which of the following symptoms you’ve experienced:
 Having a lack of emotion Problems paying attention Jumping between unrelated topics Problems expressing ideas Feeling anxious or angry Hearing/seeing things that aren't there False beliefs that are not based on reality NONE

Have you been treated for Schizophrenia before?
 Yes No

Are you currently receiving treatment for Schizophrenia?
 Yes No

Are you over 18?
 Yes No

How did you hear about us?
 TV Radio Referral Flyer/Brochure Internet Search Web Advertisement Facebook Previous Patient

Name (First and Last):

Phone:

Email Address:

Are you a resident of Washington State?

Zip Code:

What is the best time to contact you?

Please enter any questions or comments in the space below.

Your information will not be shared with or sold to anyone without your permission or except as required by law. See our Privacy Statement for details.

 I agree to the Privacy Statement