Clinical Trial Sign Up

  • Are you interested in participating?

    If you are interested in participating in a study, please complete the application below. One of our staff will contact you soon. If you have any questions about this form or the process, you may contact KCUMB Center for Community and Clinical Research at 816-654-7654 or our toll-free telephone number 1-877-425-0250.

    You can also email us with any questions at


    Your information will be maintained confidentially. In order to submit your application,
    you must read our privacy practices statement and privacy policy statement.