The normal sequence
A listing, ad, registry page, or referral is usually the first public layer. It rarely contains the full schedule, all restrictions, or all payment details. A coordinator may then do a phone pre-screen, send a secure form, or schedule an in-person screening visit.
Pre-screening usually checks broad rules: age range, sex, diagnosis, medication use, recent procedures, pregnancy status, smoking, body weight, recent study participation, availability, and distance from the site. Formal screening may include consent review, medical history, medication review, vitals, blood draw, urine test, ECG, pregnancy test, questionnaires, physical exam, or records review.
Enrollment usually happens only after screening results are reviewed. A person can pass the phone screen and still fail formal screening because of labs, ECG findings, medication conflicts, recent trial participation, scheduling windows, or a protocol rule the recruiter did not ask about at first.