If you are considering using the services of Rx Research Solutions, please complete the service request form. For general inquiries, please use our Contact Form. The information you provide will help us to estimate the cost of the services you are interested in. The more information that is provided, the better we can determine an estimate of your costs. A cost estimate will be prepared and submitted to you at no charge and with no obligation to use our services. It is not a price guarantee and does not constitute an agreement with Rx Research Solutions.

We are also happy to schedule a brief complimentary consultation, for information-gathering and to answer your questions.

Service Request Form

* All items are required

Representative Information:

Principal Investigator/Project Manager Info:

Project Information:

Additional Project Information:

Please attach any document which will provide additional relevant information about your project (e.g. study proposals, a statement outlining your project ideas, abstract, program outline). This will further help us to understand your project needs. Provide as much relevant information as possible.

Document 1
Document 2
Document 3

Desired Services:

Please let us know the services you would like us to provide. Please be detailed and specific.

What is your current budget for these services?
(enter $ value here)
This information helps us in our discussion with you about your overall project objectives and how we can best serve you.


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