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NON-HUMAN SAMPLES (PRIMATE SAMPLES NOT ACCEPTED) 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling in the 'Project/request' field with a brief description of your research project.
- Enter the investigator's name, department, and campus mail information in the designated fields.
- If there is a different contact person, provide their details including phone, fax, and email.
- Complete the billing instructions section by entering the COA# and any other necessary information requiring Lab Medicine approval.
- In the 'PROJECT DESCRIPTION' section, specify the duration of your project along with start and end dates.
- List the tests or services requested. If needed, attach additional documentation for clarity.
- Indicate sample types and total numbers for both samples and tests required.
- Specify any special handling or delivery requirements as well as sample processing preferences.
- Finally, ensure all sections are completed before submitting via email or fax as instructed at the bottom of the form.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2019 | 4.8 Satisfied (230 Votes) |
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