Suboxone Trial Suboxone Trial Startpress Enter Name * Name First First Last Last 1: During your trial did you suffer from migraines? * YES NO Please explain in further detail: * 2: During your trial did you suffer from any type of rash or hives? * YES NO Please explain in further detail: * 3: During your trial did you suffer from any swelling? * YES NO Please explain in further detail: * 4: Please list any additional issues you had during the 7 days: * Signature * Clear Date * If you are human, leave this field blank. ContinueSubmit Use Shift+Tab to go back
