Clinical Trial Participants

Clinical trials can involve gathering numerous sources of medical information. For example, you may need your medication list from up to two years or a list of medical conditions you have had diagnosed in the past.

This can be an overwhelming process at times and our goal is to make it as easy as possible with effective methods.

Obtaining your Medical history is important before starting or enrolling in a clinical trial, considering it can help prevent medication interactions or treatment interactions, and may help avoid or monitor for particular side effects or adverse events.

Having a thorough medical history for us to discuss at your screening visit, for example would help us be able to go over the particular risk versus benefits for you as an individual.

As always, your privacy and health records and medical information will always be kept private and during clinical trials is often made to be anonymous with an anonymous ID. This information will always be stored in a HIPAA compliant manner.

There are different ways we can obtain these medical records or notes.

• One of the ways our research staff can be supportive in obtaining your medical history is by using your insurance company’s data. Their collection of your medical history can be quickly obtains with a computer program that automatically brings up any medical or medically related history.. For example surgeries, procedures or treatment for certain medical problems that had to be covered by your insurance plan will be noted in this history.

• Another way is for us to request medical notes or medication list from various doctors or healthcare professionals, including mental health professionals that you have seen in the past. This will require a consent for us to be able to obtain these records from the particular professionals that you have given us permission to reach out to you.

Below are some links to consent forms and release forms that you can pre-fill out prior to your enrollment to a particular clinical trial of interest. These consent forms will allow us to obtain the information needed to help guide you in making the right choice and answering questions appropriately For any of the clinical trials that you were interested in learning more about.

These releases and consent forms can have an end date mentioned if you have a particular timeframe in mind that you would like us to have access to your records or to be able to obtain the records from the original sources.

COMMUNICATION CONSENT FORM: This consent form is for communication purposes and allows us to be able to communicate with you in the most convenient way based on your preference of communication.

COMING SOON: This consent form is to allow us to have access to or obtain specific medical charts from specific healthcare professionals that have taken care of your health or have done evaluations in the past

CONSENT TO OBTAIN MEDICAL RECORDS: This consent form is specifically for us to be able to use a computer program that dives into your insurance’s data which has collected over the years and may have valuable information pertinent to your ability to safely take part in certain clinical trials

current-trial-partcipants

Clinical Trial Participants

Clinical trials can involve gathering numerous sources of medical information. For example, you may need your medication list from up to two years or a list of medical conditions you have had diagnosed in the past.

This can be an overwhelming process at times and our goal is to make it as easy as possible with effective methods.

Obtaining your Medical history is important before starting or enrolling in a clinical trial, considering it can help prevent medication interactions or treatment interactions, and may help avoid or monitor for particular side effects or adverse events.

Having a thorough medical history for us to discuss at your screening visit, for example would help us be able to go over the particular risk versus benefits for you as an individual.

As always, your privacy and health records and medical information will always be kept private and during clinical trials is often made to be anonymous with an anonymous ID. This information will always be stored in a HIPAA compliant manner.

There are different ways we can obtain these medical records or notes.

• One of the ways our research staff can be supportive in obtaining your medical history is by using your insurance company’s data. Their collection of your medical history can be quickly obtains with a computer program that automatically brings up any medical or medically related history.. For example surgeries, procedures or treatment for certain medical problems that had to be covered by your insurance plan will be noted in this history.

• Another way is for us to request medical notes or medication list from various doctors or healthcare professionals, including mental health professionals that you have seen in the past. This will require a consent for us to be able to obtain these records from the particular professionals that you have given us permission to reach out to you.

Below are some links to consent forms and release forms that you can pre-fill out prior to your enrollment to a particular clinical trial of interest. These consent forms will allow us to obtain the information needed to help guide you in making the right choice and answering questions appropriately For any of the clinical trials that you were interested in learning more about.

These releases and consent forms can have an end date mentioned if you have a particular timeframe in mind that you would like us to have access to your records or to be able to obtain the records from the original sources.

COMMUNICATION CONSENT FORM: This consent form is for communication purposes and allows us to be able to communicate with you in the most convenient way based on your preference of communication.

COMING SOON: This consent form is to allow us to have access to or obtain specific medical charts from specific healthcare professionals that have taken care of your health or have done evaluations in the past

CONSENT TO OBTAIN MEDICAL RECORDS: This consent form is specifically for us to be able to use a computer program that dives into your insurance’s data which has collected over the years and may have valuable information pertinent to your ability to safely take part in certain clinical trials

john-kohut

John Kohut, MD

Dr. Kohut is a board-certified psychiatrist who works with patients from age 22 to the elderly providing medication management for patients with symptoms of anxiety, depression, and post-traumatic stress disorder. Dr. Kohut enjoys the opportunity of working in conjunction with psychotherapists of all fields such as licensed clinical psychologist, licensed clinical social workers, and marriage and family therapists. He works with fellow clinicians on an outpatient basis but when necessary, refers to inpatient services and consultants in various inpatient facilities in the San Bernardino and surrounding areas. Dr. Kohut has been in psychiatric practice since 1971.

Practicing locations :

john-kohut

John Kohut, MD

Dr. Kohut is a board-certified psychiatrist who works with patients from age 22 to the elderly providing medication management for patients with symptoms of anxiety, depression, and post-traumatic stress disorder. Dr. Kohut enjoys the opportunity of working in conjunction with psychotherapists of all fields such as licensed clinical psychologist, licensed clinical social workers, and marriage and family therapists. He works with fellow clinicians on an outpatient basis but when necessary, refers to inpatient services and consultants in various inpatient facilities in the San Bernardino and surrounding areas. Dr. Kohut has been in psychiatric practice since 1971.

Practicing locations :

sigrid-formantes

Sigrid Formantes, MD

Dr. Sigrid Formantes is a Board-certified general psychiatrist. She earned her medical degree at the University of the Philippines and completed her general psychiatry residency at the Brookdale Hospital and Medical Center in New York. She has been in practice since 2008 seeing adults 18 years and older.

Practicing locations :

sigrid-formantes

Sigrid Formantes, MD

Dr. Sigrid Formantes is a Board-certified general psychiatrist. She earned her medical degree at the University of the Philippines and completed her general psychiatry residency at the Brookdale Hospital and Medical Center in New York. She has been in practice since 2008 seeing adults 18 years and older.

Practicing locations :

Benefit the rewards of being a part of our Mental Health Group Therapy.

To find out what Group Therapy is currently in session, fill out the form below and our team will reach out to you.

Benefit the rewards of being a part of our Mental Health Group Therapy.

To find out what Group Therapy is currently in session, fill out the form below and our team will reach out to you.

Telepsych ensures you get better access to healthcare with a decreased wait time.

To learn more, fill out the form below and our team will reach out to you.

Telepsych ensures you get better access to healthcare with a decreased wait time.

To learn more, fill out the form below and our team will reach out to you.