Physician Referrals

recordsTo Send Medical Records:
Via Fax to California: (916) 281-2260
Via Fax to Nevada: (775) 826-0276

Via US Mail/Courier: Allied Clinical Research
2485 Sunrise Blvd
Gold River, CA 95670

Via Email: alliedclinical@gmail.com


drladyTo Refer a Patient for a Clinical Study:

Please complete the information below, with required fields of Patient Name, indication, and telephone number or email.

If you need to speak with the research team directly, you can call 888-572-2712.  Additionally, you may email our study physicians:  Mikhail Palatnik, MD at mpalatnik@alliedclinical.org, Dinesh Pokharel, MD at dpokharel@alliedclinical.org, and Bryan Wolf, MD at bwolf@alliedclinical.org. You may also contact our President, Eric Hanson at ehanson@alliedclinical.org.

*Patient Name

Patient Email

*Patient Phone Number

*Indication / Disease

*Patient Date Of Birth

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