CSDE Biodemography Lab Service Request Form

Please use the form below to request more information about laboratory or point-of-care testing services for research specimens. For consulting regarding biomarker data collection, including choosing analyte(s) and/or sample type(s), collection logistics, point-of-care tests, anthropometrics, etc., please submit a Science Core Consultation Request.

Name*

First

Last

Email*

Phone*

Institution*

The investigator is a (please check all that apply):*

Faculty/Staff Member
Graduate Student
CSDE Affiliate or Trainee
School of Nursing Faculty/Staff/Student
Other

Please choose the option below that best describes the purpose of your inquiry:*

Please describe the purpose of your inquiry:

Please describe your project status:

Study Summary*

Please provide the background and rationale for your study.

Study Objectives*

Please provide the specific aims with testable hypotheses/study outcomes.

Study Design

Please describe the sampling method, whether any repeated samples are collected from the same study participant, and the type and quantity/volume of biospecimens collected.

If you plan to use equipment, lab supplies, and/or training time from Biodemography Lab staff, please describe here:

Date service is expected to begin:

Laboratory Assays

The Biodemography Lab offers a wide range of assays, and is equipped to use most commercial immunoassay kit or qPCR-based assay. Those listed here are the most commonly requested assays. For other assays, please select "other" and specify the analyses of interest.

C-reactive protein (hsCRP)
Cortisol
Apolipoprotein B (ApoB)
Epstein-Barr Virus (EBV) Immunoglobulins
Telomere Length
Quansys Multiplex
Other

Please explain:

Sample Type

Dried Blood Spots
Whole Blood
Serum or Plasma
Saliva
Urine
Hair
Other

Please explain:

Other pertinent information or questions: