Am I a Candidate?

Your answers indicate that you may be a good candidate for the study.

There are 3 final steps to complete. If you would like to continue the pre-screening process now, please feel free to call a study representative at 1-512-351-7045 between the hours [8am and 8pm EST Mon- Fri]. Let the representative know that you have already filled out the online questionnaire.

Step 1: Privacy Policy

The website you are using is supported by Mirum, a pharmaceutical company or “sponsor”, in order to evaluate whether you are eligible for enrollment in a PSC clinical study. The sponsor will not have access to your name, telephone number or email address.

Any data you provide will be treated as confidential and only used for the stated purposes. Your data will be handled in accordance with applicable law, including applicable privacy law.

Yes, I have read, understood and accept the Privacy Policy and I authorize the sponsor of the clinical study and its contracted third parties to process my personal and health information as described.

No, I do not want to share my personal and health information. (You will not be contacted to participate in the study.)

This is a required question. Please answer and resubmit.

Step 2: Study Center Selection

Based on your zip/postal code, these are the 3 closest study centers to you. Please select the study center most convenient to your location.

This is a required question. Please answer and resubmit.

Step 3: Contact Information

Enter your contact information:

This is a required question. Please answer and resubmit.
This is a required question. Please answer and resubmit.
This is a required question. Please answer and resubmit.

Best time to call:

Morning 8am - 11am

Midday 11am - 2pm

Afternoon 2pm - 5pm

Evening 5pm - 8pm

This is a required question. Please answer and resubmit.
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By submitting your information, you agree to receive communications including electronic or text messages from the study representatives about this clinical study. You may unsubscribe from these electronic and text communications at any time. For more information, please visit our privacy policy.