Do you require the EORLA Yes No If Yes: Laboratory Medicine Services In addition to submitting this form, you for Phlebotomy and/or must complete EORLA requirements to Laboratory sample front-end set up processing for your study. processing? Will sample processing be Yes No If Yes: performed at the General Staff in CCW 3132 will perform the Campus? processing of study samples. Contact them to set up processing for your study. Will study sample processing be Yes No If Yes: performed by study staff? Samples to be Processed in: Civic: EORLA Research Lab: QM-74 Riverside: EORLA Lab-Biochemistry Other: _______________________
Do you require the EORLA Laboratory Medicine Services for Phlebotomy and/or Laboratory sample front-end processing? Yes No If Yes: In addition to submitting this form, you must complete EORLA requirements to set up processing for your study. Will sample processing be performed at the General Campus? Yes No If Yes: Staff in CCW 3132 will perform the processing of study samples. Contact them to set up processing for your study. Will study sample processing be performed by study staff? Yes No If Yes: Samples to be Processed in: Civic: EORLA Research Lab: QM-74 Riverside: EORLA Lab-Biochemistry Other: _______________________