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Uterine Fibroid-Bayer Study
Uterine Fibroid-Bayer Study
Name
First
Last
Phone
Email
18 year of age or older?
*
Yes
No
Heavy menstrual bleeding monthly?
*
Yes
No
Good general health other then Fibroids?
*
Yes
No
Willing to participate in the clinical study?
*
Yes
No
Not desiring pregnancy in the next 12 month?
*
Yes
No