All Solutions

Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.

Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.

See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows

Connect with over 2,000 popular apps and software to improve productivity and automate workflows

See all integrations
Clinical Trial Patient Recruitment Inquiry Form
About this free form template

Clinical trials are essential for advancing medical research, but recruiting qualified participants can be one of the biggest challenges researchers face. This Clinical Trial Patient Recruitment Inquiry Form is designed to help research coordinators, healthcare facilities, and pharmaceutical companies quickly and professionally capture participant interest while screening for basic eligibility criteria.

The form captures essential contact information, demographic details, medical history screening questions, availability and time commitment preferences, compensation acknowledgment, location preferences, and referral sources. By using conditional logic, you can tailor follow-up questions based on specific health conditions or study requirements, ensuring you only collect relevant information from each potential participant.

Perfect for:

  • Clinical research coordinators managing multiple studies
  • Hospitals and medical research institutions
  • Contract research organizations (CROs)
  • Pharmaceutical and biotech companies
  • Academic medical centers conducting trials
  • Patient recruitment agencies

How Paperform enhances clinical trial recruitment:

With Paperform's conditional logic, you can create intelligent screening flows that adapt based on participant responses—automatically filtering candidates who meet inclusion criteria while providing helpful information to those who don't qualify. The professional, on-brand design helps build trust with potential participants during their first interaction with your study.

Automate your recruitment workflow with Stepper:

Connect this form to Stepper to build a complete recruitment automation. When a qualified candidate submits their inquiry, automatically create records in your patient database, send personalized follow-up emails with detailed study information, schedule screening appointments, notify research coordinators via Slack or email, and route different candidate types to appropriate team members—all without manual data entry.

Secure consent collection with Papersign:

Once a candidate is qualified, use Papersign to send informed consent documents for eSignature, keeping all documentation linked to the original inquiry for complete audit trails and regulatory compliance.

This template is SOC 2 Type II compliant and includes data security measures appropriate for sensitive health information collection, helping you maintain participant privacy while streamlining your recruitment process.

Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.

More templates like this

Clinical Research Patient Registry Inquiry Form

Clinical Research Patient Registry Inquiry Form

A comprehensive inquiry form for clinical researchers and institutions planning to establish or expand patient registries, collecting essential details about disease focus, data requirements, consent frameworks, and collaboration opportunities.

Clinical Trial Recruitment Inquiry Form

Clinical Trial Recruitment Inquiry Form

Connect potential clinical trial participants with research opportunities by collecting diagnosis, treatment history, trial preferences, and location information.

Clinical Trial Site Selection Inquiry Form

Clinical Trial Site Selection Inquiry Form

Streamline your clinical trial site selection process with this comprehensive inquiry form. Collect essential information about therapeutic areas, trial phases, patient populations, and site requirements to identify the best research sites for your study.

Bipolar Disorder Medication Adherence Research Study Registration

Bipolar Disorder Medication Adherence Research Study Registration

A comprehensive registration form for participants joining a bipolar disorder medication adherence research study, including consent for mood tracking, pharmacogenetic testing, digital monitoring, and hospitalization prevention planning.

Celiac Disease Gluten Challenge Research Enrollment Form

Celiac Disease Gluten Challenge Research Enrollment Form

A comprehensive enrollment form for celiac disease research studies involving gluten challenge protocols, with consent sections for antibody testing, endoscopy procedures, symptom monitoring, and strict follow-up requirements.

Chronic Parvovirus B19 Infection Screening & Assessment Form

Chronic Parvovirus B19 Infection Screening & Assessment Form

Comprehensive screening form for chronic parvovirus B19 infection in immunocompromised patients, including anemia assessment, PCR testing criteria, IVIG therapy evaluation, and infectious disease consultation referral.

Chronic Radiation Proctitis Screening & Assessment Form

Chronic Radiation Proctitis Screening & Assessment Form

Comprehensive screening form for chronic radiation proctitis following pelvic radiation therapy, including rectal bleeding assessment, endoscopy criteria evaluation, hyperbaric oxygen eligibility, and gastroenterology referral coordination.

Climate Change & Health Poster Abstract Submission Form

Climate Change & Health Poster Abstract Submission Form

Submit your research poster abstract on climate change and health impacts, including environmental exposure data, heat-related illness trends, vector-borne disease mapping, and adaptation strategies.

Clinical Research Adverse Event Escalation Form

Clinical Research Adverse Event Escalation Form

A comprehensive form for clinical research sites to escalate adverse events, document IRB notifications, sponsor reporting, and FDA safety reporting triggers with built-in compliance workflows.

Clinical Research Coordinator to Principal Investigator Referral Form

Clinical Research Coordinator to Principal Investigator Referral Form

A comprehensive referral form for clinical research coordinators to refer potential participants to principal investigators, including trial screening, inclusion criteria verification, and protocol enrollment details.

Clinical Research Participant Confidentiality Agreement

Clinical Research Participant Confidentiality Agreement

A comprehensive confidentiality agreement for clinical research participants that covers study data protection, privacy rights, compensation details, and IRB compliance requirements.

Clinical Research Participant Data Consent Form

Clinical Research Participant Data Consent Form

A comprehensive consent form for clinical research participants covering data collection, anonymization, storage, and publication rights with clear explanations of privacy protections.