Clinical Trial Recruitment Form
About this free form template

Streamline Clinical Trial Recruitment with Paperform

Finding the right participants for pharmaceutical clinical trials requires careful screening, detailed medical information, and clear communication about trial expectations. This Clinical Trial Recruitment Form template helps research coordinators, pharmaceutical companies, and clinical research organizations efficiently pre-screen potential participants while collecting all the essential information needed to determine eligibility.

Whether you're recruiting for Phase I safety studies, Phase II efficacy trials, or Phase III large-scale research, this form captures everything from condition diagnosis and treatment history to current medications and availability—all in one professional, easy-to-complete format.

Built for Healthcare Research Teams

This template is designed specifically for:

  • Clinical research coordinators managing participant pipelines for multiple studies
  • Contract research organizations (CROs) handling recruitment across sites
  • Pharmaceutical companies conducting direct-to-patient recruitment campaigns
  • Academic medical centers recruiting for investigator-initiated trials
  • Patient advocacy groups connecting members with relevant research opportunities

The form uses conditional logic to adapt questions based on responses, ensuring participants only see relevant questions while you collect comprehensive screening data. Medical history sections, medication lists, and availability questions help you quickly identify qualified candidates and move them through your recruitment funnel efficiently.

Automate Your Recruitment Workflow

Once a participant submits their screening form, you can use Stepper (stepper.io) to automate your entire recruitment workflow. Automatically score responses against inclusion/exclusion criteria, send personalized follow-up emails based on eligibility, create participant records in your clinical trial management system, notify study coordinators of high-priority candidates, and schedule screening visits—all without manual data entry.

Connect this form to your CRM, send notifications to Slack, update Airtable databases, or trigger custom workflows via webhooks. With Paperform's SOC 2 Type II compliance and robust security features, you can trust that sensitive health information is handled with the care your participants deserve.

Professional, Accessible Experience

Clinical trial participation can feel intimidating. This form presents complex medical questions in clear, accessible language while maintaining the professional tone participants expect from legitimate research. Use Paperform's design flexibility to add your institution's branding, include educational content about the study, and create a welcoming experience that encourages qualified participants to complete their screening.

Whether you're running targeted social media recruitment campaigns, working with physician referrals, or building a patient registry, this template gives you a conversion-optimized starting point that respects both participant experience and your need for detailed, accurate screening data.

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