Tufts CMS Technical Services Request Form

Technical Services Request Form
Tufts CMS offers a variety of technical services for research investigators working with animals. Please see below for a sample of services offered.

After submitting this form, you will recieve an e-mail reciept of the completed form. Within 2 days of submission, a member of Technical Services will contact you regarding your request. If you are not contacted within that time period, please contact TuftsCMS-techservices@tufts.edu.

A minimum of 5 days notice is required for service requests (this does not include weekends or University recognized holidays/bonus days).
Click the "Submit" button at the bottom left of this form when it is complete.
Lab Information
Date

MonthDayYear
PI Name*
IACUC Protocol Number*
Note: Animals and procedures used in this service MUST be described in this previously approved IACUC protocol/amendment.
Account #*
Animal Holding Room #*
Person Requesting Service*
E-mail for Person Requesting Service*
Phone number for Person Requesting Service*
Technical Service Information
Date of Service*
Start Time
End Time (approx.)
Species*
Number of Animals*
Service Requested
Note: Animals and procedures used in this service MUST be described in the previously approved IACUC protocol/amendment listed above.
InjectionOral GavageBlood CollectionEuthanasiaTissue CollectionTrainingOther
Injection
IV - intravenousIP - intraperitonealSQ - SubcutaneousOther
Substance(s) being injected
YesNoBoth
Injection Biohazard IBC Registration Number(s)
Injection Chemical Hazard or Biohazard information (special PPE required, other concerns, etc)
Oral Gavage
Substance(s) being administered orally
YesNo
Oral Gavage Biohazard IBC Registration Number(s)
Oral Gavage Chemical Hazard or Biohazard information (special PPE required, other concerns, etc)
Blood Collection
CardiacFacial vein plexusTailOther
Amount to collect as per protocol
Training
HandlingInjectionsOral GavageBlood CollectionOther
Provided by labProvided by Tufts CMS
Person(s) needing training*
Other Training Requested
Please describe below
Supplies (tubes, syringes, etc.)
Provided by labProvided by Tufts CMS (fee charged to lab)
*pre-loading syringes & labeling tubes reduces time charged by Tufts CMS
Additional Details/Instructions (e.g. time points, drug administration considerations, etc.)
Should be Empty: