DNA TEST REGISTRATION

DNA Test Registration

First Name(include Prefix)

Middle Name

Last Name (include Suffix)

Address

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City

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Country

Phone Number

Birth Date

What was your main prescribed opioid?

How long did you use opioids?

Did you ever use Fentanyl?

Did you ever use Heroin?

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as well as here
https://smithgeneticresearch.com/informed-consent.txt

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