Alzheimer's Pre-screener

I am aged*

50-85 years of age

I am one of the following*

No Memory Concerns
Concerned about memory decline
Diagnosed with Mild Cognitive Impairment (MCI) or Alzheimer's disease

Do you suffer from any of the following?*

Thank you very much for your interest in our research, unfortunately you have an exclusionary medical condition/medication and therefore are not be eligible for studies currently running at the clinic.

The team here at NeuroClin Glasgow greatly appreciate the time you have taken to explore our website.

Thank you

Do you take any of the following medications*

Thank you very much for your interest in our research, unfortunately you have an exclusionary medical condition/medication and therefore are not be eligible for studies currently running at the clinic.

The team here at NeuroClin Glasgow greatly appreciate the time you have taken to explore our website.

Thank you

PLEASE NOTE TAKING PART IN OUR RESEARCH MAY REQUIRE THE FOLLOWING

Some studies require a study partner who can attend appointments with you and observe your progress during the course of the study.

Clinical research may involve participating in a trial over a period of time and require taking study medication/placebo.

Name*

First Last

Email*

Postcode*

Phone*

Date of Birth*

How did you hear about us?*

Best time to call?*

Opt in?

I agree to receive future emails from NeuroClin Glasgow
No

Terms and conditions*

I have read and accept the Terms and conditions

Read the Terms and conditions

Register to take part in one of our studies.

Alzheimer's
Pre-screener