Become a Research Candidate Research Candidate Application: If you are interested in participating in one of our studies, please use the form below and a representative from RxResearch will contact you. Name:  Birthdate:  MM/DD/YYYY Gender:  Female   Male       Contact Information eMail:  Home Telephone :  Work Telephone:  Please list any medications (and dose) you are taking or have taken in the last 30 days: I would like to participate at the following clinic location: (Find the nearest RxResearch center) Alpharetta Stockbridge Woodstock