Transform Lives: Join the Battle Against Opioid Addiction in Young Adults

Consent to Continue

After completing this brief questionnaire, more detailed information will be provided to you before you decide whether or not to take part. You will also have the opportunity to speak with and ask questions to a member of the Maryland Treatment Centers clinic team. Please be informed that you can stop this discussion at any time.

Please also note that by completing this questionnaire, you are consenting to allow Trialfacts to collect your answers to the questions, including your contact information. All information you provide will be held in strict confidence and shared only with the Geisel School of Medicine at Dartmouth and the Maryland Treatment Centers team conducting this clinical program. Trialfacts will delete your information from its records upon your request.

You will have the option to join the Trialfacts mailing list to be contacted via email about future programs which you may be eligible for. Trialfacts may also reach out to you to gather feedback on your experience. You will not be contacted if you choose not to sign up to the Trialfacts mailing list.

For your reference, please find a link to the Trialfacts Privacy Policy.

Are you willing to continue? *This question is required.