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Plurogel Progress Form

This is your personalized progress form. Please update patient progress once a week.

  • What week of the trial are you on?
  • Patient 1

  • Accepted file types: jpg, png, gif, Max. file size: 10 MB.
  • Patient 2

  • Accepted file types: jpg, png, gif, Max. file size: 10 MB.
  • Patient 3

  • Accepted file types: jpg, png, gif, Max. file size: 10 MB.