For startups, speed is crucial. Havana of Florence Healthcare shares how her small team was able to conduct usability testing on a new clinical trials consent form tool despite the company having no infrastructure or resources for testing, difficulties in accessing end users, the challenges of a brand new market, seeking diverse subjects, and how they had to tweak the level of fidelity of the consent form to get real, genuine user insight. This talk will be followed by a facilitated discussion on how to overcome challenges in conducting usability tests.