TBRS Community Biorepository - Sample Request Form

TBRS Community Biorepository - Sample Request Form

Thank you for your interest in samples from the TBRS Community Biorepository. Please fill out the form below to request samples for research. Submissions will be reviewed by COMBINEDBrain and TBRS Community Biorepository staff to ensure research is appropriate and aligns with patient-needs. Contact jill@tbrsyndrome.org with questions.
Please use this link to view the available samples from the TBRS Community Biorepository -- https://docs.google.com/spreadsheets/d/1V2HsQJF_jC3TlDUOu1HsfUY0SU7de75Skbqfh2cO5xs/edit?usp=sharing

Please use this link to view cost information associated with sample access (please note that you can save on shipping costs by requesting multiple samples at the same time) --- https://docs.google.com/document/d/1q4216htfvOdZBxmHzDqoKy9rlmajIffgIXY2kXQZ1Lk/edit?usp=sharing
Name (PI)

First NameLast Name
Email
example@example.com
Institution
Is this an IRB-approved study?

YesNo
Where do samples need to be sent?
Please give a brief but thorough description of the study (purpose, aims, general use of samples, etc.) - 3-5 sentences
Which samples are you requesting?
Should be Empty: