© 2020 Axiom Clinical Research

Tel: (813) 353 9613

2919 Swann Avenue Suite 105A Tampa, FL 33609


Please print out and complete the forms below prior to your visit and bring them with you to your first appointment. If you do not have access to a printer, please let our staff know when you come for your appointment.

What to bring to the appointment:

  • List of prescriptions and/or over-the-counter medications, including dose and frequency

  • Information about the patient's medical and surgical history

  • Relevant Records