General Email Campaign

Volunteer Form

AMR Utah is enrolling volunteers of all ages in various clinical research trials. Reimbursement may be available for study-related expenses. Insurance is not required.

Please complete the form below and we will contact you to verify your eligibility and clarify any questions you may have.

Name(Required)

Phone(Required)

Email(Required)

What is the best time to call?

How did you hear about us?

Ex. Facebook, Instagram, TikTok, Amazon, TV, Radio, Flyer, Word of Mouth.

Age(Required)

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Studies of Interest(Required)

Phone

This field is for validation purposes and should be left unchanged.

Refer-A-Friend

Earn extra cash* by recommending a friend to us and receive up to $100 for each referral!

Download Referral Form

<em>* Some restrictions apply. Not all studies are eligible for the Refer-A-Friend program. Ask an AMR representative for details.</em>

Bringing better medicine to life.

Volunteer Form

Refer-A-Friend

Earn extra cash* by recommending a friend to us and receive up to $100 for each referral!

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