READY TO BE A PART OF SOMETHING BIG?

To be considered for this study, participants must meet the following requirements:

Female, 18–35 years of age
Body Mass Index (BMI) between 18.5 and 30.0
Non-smoker
Have previously used a contraceptive method without complications

The applicant will have to stop using any current contraceptive devices or medication for the following periods.

(if previously using birth control):

Short-acting methods (pill, patch, ring): Applicants must stop using devices or medication 7–30 days before start dates.
Long-acting methods (IUD, implant, DMPA): Applicants must stop using devices or medication for 90 days (3 months) before the start day.

Upon application and filtering, you will be provided with a start date.

FILL OUT THE APPLICATION BELOW

Birth Control Patch Study – Participant Application Form

Thank you for your interest in participating in a women’s health clinical study focused on testing an improved birth control patch.

This study is designed to help evaluate comfort, usability, and overall experience, with the goal of creating better birth control options for women.

By completing this form, you are taking the first step in seeing if you may be eligible to participate. The questions help our study team determine whether the study may be a good fit for you. Completing this form does not obligate you to participate, and all information provided will be kept strictly confidential.

Participation is completely voluntary, and you remain in control of your decisions regarding your body and health at all times. A member of the study team may contact you if you appear to qualify, to provide additional details and answer any questions before enrollment.

Please complete the form as accurately as possible to help us assess eligibility.

First name

Last name

Birthday

Year

Month

Day

I am over 18y of age.

Address

Phone

When was the last time you used a contraceptive?

If a contraceptive device or medication was used within the last 3 Months or 90 days, Please advise when.

What contraceptive have you previously used in your lifetime?

Non- Smoker

Used a contraceptive device or medication in your lifetime with no complications.

Allergies

If (yes) to Allergies, please list them below

Other Health Concerns

Referral Name /How you found out about this study?

I agree to being contacted by Sky Staffing Services Inc or the respective clinic. I have volunteered my information to be used for further selection processes. I agree to receiving email or phone/text communication from administrators of this study.