Disclaimer: Completion of this pre-screening form does not guarantee access to participate in any clinical trials. It serves as an initial step in the screening process, and further evaluation is required to determine eligibility for specific clinical trials. Additional assessments, medical examinations, and criteria may be necessary to qualify for participation. The information provided in this form will be used solely for screening purposes and will be handled with strict confidentiality. Participation in a clinical trial is subject to meeting all eligibility criteria, the availability of suitable trials, and the final decision of the clinical research team. By answering this form, you acknowledge and consent to being contacted by our clinical research team. The purpose of this contact is to further discuss your responses, gather additional information if necessary, and provide any relevant updates or opportunities related to the clinical research being conducted. Your participation is voluntary, and you have the right to withdraw your consent at any time. Please note that any information regarding alcohol and drug abuse, if disclosed, has been obtained from records protected by Federal Law. As per Federal regulation (24CFR part II), no further disclosure of this information will be made without your specific written consent, unless otherwise permitted by such regulations. Furthermore, any information related to HIV testing and/or AIDS-related diagnosis is strictly protected by state regulations. The disclosure of such information is prohibited without your specific written consent. Rest assured that your personal information, including any sensitive or protected health information, will be handled with the utmost confidentiality and in compliance with applicable laws and regulations.