• Sherbrooke: 819 346-2887 // Quebec: 581 477-3439 // Victoriaville : 819 260-1172
  • info@diex.ca

Please note that all the information provided in this form is confidentially conserved in a secured database and will be only used for recruitment purposes.

  • *Mandatory fields
  • I also have an interest in the following studies:

    Please note that you must have the health problem to participate in one of our trials, if that is not the case please tell us that you do not have a health problem and that you want to participate as a healthy patient.