Specimen Request Form

The Bank fees associated with tissues and data reflect the costs required to match, process and ship the specimens to Investigators. If approved, you may also be asked to complete a Material Transfer Agreement or Data Transfer Agreement. A copy of the IRB approval and protocol is required before shipping. Submit the application below and a Tissue Bank representative will contact you concerning your request. 

To obtain service fees or questions, please complete the request form with the required project details. A member of our staff will be happy to answer your questions.
Requestor Information
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Project Information
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The recipient Investigator agrees to:

Recipients of tissue samples from Washington University agree to acknowledge the contributions of the Washington University Pediatric Brain and Solid Tissue Core (WUPBSTC) in publications resulting from the use of these samples.

Any risk and responsibility associated with the receipt, handling, storage and usage of these tissue are assumed by the recipient Investigator and will thereby agree to hold harmless the WUPBSTC for any cost, damages and expenses incurred related to the samples and or data.

Specimens obtained by the WUPBSTC are discarded surgical specimens and are provided to researchers without warranty. The Bank does its absolute best to provide samples of good quality. All tissues are donated by children and their families for the sole purpose for research with the hope that it will find answers leading to a cure.

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