Integrating Science, Care, and Innovation for Better Health  |  312-225-3916  |  keog@kclgmedical.com
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Patient Registry

Tell Us About Your Diagnosis.
We'll Match You to the Right Trial.

Registering takes 3 minutes. You are not committing to anything — you are giving us the information we need to contact you if a trial opens that matches your situation. No spam, no pressure.

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Fully Confidential Your information is never shared with third parties. It is used only to assess your eligibility for KCLG Medical studies.
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A Real Person Will Follow Up Our clinical coordinator will contact you within 5 business days to discuss whether any current or upcoming trials may be relevant to you.
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No Obligation Registering your interest is not consent to participate. You can withdraw at any time and your care is not affected by your decision.
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Your Condition Treatment & Interest Contact Details

About Your Condition

This helps us identify which of our current and upcoming trials may be relevant to you.

Treatment History & Trial Interest

This helps us understand what you have already tried and what you might be eligible for.

Used to assess whether you are within travel distance of our Oak Brook, IL site.

Contact Details & Consent

We will use this to reach you when a relevant trial opens. Your details are never shared.

By submitting this form, you consent to KCLEAGENICS MEDICAL INC. storing and using the information you have provided to assess your potential eligibility for clinical trials and to contact you if a relevant study opens. Your information will not be shared with any third party without your explicit separate consent.

This registry does not constitute enrolment in any clinical trial. Participation in any trial requires a separate informed consent process. You may request removal of your information at any time by emailing keog@kclgmedical.com.

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You're Registered

Thank you. Our clinical coordinator will be in touch within 5 business days to discuss whether any current or upcoming trials may be a match for you.

Questions in the meantime? Email keog@kclgmedical.com or call 312-225-3916.

🔒 Data Privacy Stored securely. Never sold or shared without your explicit consent.
📋 GCP Compliant All data handling meets ICH GCP E6(R2) and FDA 21 CFR Part 11 standards.
🚫 No Obligation Registering does not commit you to participation. You decide at every step.
✉️ Right to Withdraw Request removal of your data at any time — no questions asked.
After You Register

What Happens Next

We keep you informed at every stage — and we never contact you about trials that are not relevant to your situation.

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Initial Review (within 5 business days) Our clinical coordinator reviews your submission against our current and planned trial portfolio to assess potential eligibility.
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Personal Follow-Up Call or Email If a potentially relevant trial is open or opening soon, we contact you to explain what it involves and answer your questions — no pressure.
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Pre-Screening Assessment If you are interested, we arrange a no-obligation pre-screening visit or phone call to confirm eligibility before any commitment.
Read the Patient Guide Speak to the Team