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Cutting Edge Depression Research

(212) 772-3570

 
 
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If you are between the ages of 18 and 70 and are experiencing any of the symptoms below, you may be eligible to participate in one of our clinical research studies. The studies last up to a year and a half and participation is entirely voluntary. All study medication and visits with the psychiatrist will be provided to you at NO COST and there is a stipend for your time and transportation.
 
Our clinic is located on 42nd street and Lexington Avenue in midtown Manhattan, next to Grand Central Station.

HOPELESSNESS  •  SADNESS
LOSS  OF  INTEREST  •  DECREASED   ENERGY
DIFFICULTY  CONCENTRATING

  • Being treated at no cost
  • No insurance necessary
  • Compensated for your time

Please start by filling out the following form and we will be in touch with you as soon as possible.

You may also call us at (212) 772-3570 or email info@fieveclinical.com at any time for more information or to schedule an appointment.

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Basic Contact info: 
Date Of Birth (mm/dd/yyyy)
 
 
 
General Info
 
*Are you between the ages of 18 and 70 years old?
 
 
*Are you currently depressed?
 
 
*Do you have a history of Alcohol dependence or drug abuse in the last year?
 
 
*Are you currently taking medication for depression?
 
 
*Are you currently taking any medication for other reasons?
 
 
Psychiatric Diagnostic History 

Have you ever been diagnosed with any of the following psychiatric disorders?  Please check all that apply:

Medical History
Have you ever been diagnosed with any of the following psychiatric disorders? 

Please check all that apply:

* If you are currently having active suicidal thoughts or believe you may be at risk for suicide, immediately call 911 for assistance and contact the 24 hour National Suicide Prevention Lifeline 1(800) 273-8255.
 
 
 
*Do you have high blood pressure?  
If high blood pressure is yes, is it stabilized on medication?
 
*Do you have high cholesterol? If yes, please check below
If high cholesterol is yes, is it stabilized on medication?

If you do not qualify for our current studies, is it okay to offer you participation in others that you qualify for?