Call Us: (513) 621-5112

Medical History Form
Please click the link below to download our medical history form.  You can print this and fill it out prior to visiting us if you would like to save time.

Medical History Form >>

The above document is in Adobe PDF format. 

In order to view the document, you will need Adobe Reader installed.  If you do not already have it installed, please click on the image below. 

I Want to Participate >>
Contact Us Today!


Call For Participation
Patient Recruitment Specialist
Cincinnati, OH

PH: (513) 621-5112
FX:  (513) 621-5101

Cincinnati / Mt. Auburn
2230 Auburn Avenue
Level B
Cincinnati, OH 45219
PH: (513) 381-4100
FX:  (513) 381-4120

375 Glensprings Drive
2nd Floor
Cincinnati, OH 45246
PH: (513) 671-8080
FX:  (513) 671-8090
Are You Concerned About Heart Failure?
Thursday, October 26, 2017

Congestive heart failure is a common cardiac problem in the US.  After age 40, 1 in 5 people will develop some form of heart failure and the risk increases as we age.  


Copyright © 2020. STERLING RESEARCH. All Rights Reserved