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.