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Do You Qualify for the MEAL Clinical Trial?

Interested participants are eligible for the MEAL trial only if they meet the established qualifications. Please begin the first step by taking the eligibility questionnaire below. If you are qualified, a representative will contact you directly.

Screening Questions
* Have you been diagnosed with Prostate Cancer in the last 24 months?	YesNo
Unfortunately, you do not qualify for this trial. Participants must have been diagnosed within the last 24 months.

* Have you ever been treated for your Prostate Cancer with surgery, radiation or hormones?	YesNo
Unfortunately, you do not qualify for this trial. Participants must not have undergone surgery, radiation or hormone treatments.

* Are you still deciding on your treatment options?

YesNo

Please tell us whether you're still deciding on treatment.

* Are you participating in Active Surveillance?

YesNo

Please tell us whether you're participating in Active Surveillance.

* First name:
* Last name:
Who are you inquiring for?
* Date of birth:
Insurance type:
Zip code:
How May We Contact You?
* Daytime phone number: (xxx-xxx-xxxx)
* E-mail address:
* How do you prefer to be contacted?

	* indicates a required field

Do You Qualify for the MEAL Clinical Trial?

Screening Questions

How May We Contact You?

UC San Diego Health System