This form (updated 2018) is required from anyone using the shared laboratory spaces (QM-74 at the Civic; Biochemistry Lab at the Riverside) or the Clinical Research Laboratory at the General Campus (CCW 3132). It must be completed in addition to EORLA / Pathology & Laboratory Medicine requirements. The purpose of the form is to assist the OHSN-REB and in clarifying your research sample procurement, processing, storage needs requirements if you will be collecting patient specimens (blood, serum, plasma, buffy coat cells) as part of your research protocol. It also will provide OHRI Administration with contact information in case of emergency / alarms. Please answer all questions and send the form to . The initial approval will be e-mailed to you and this copy may be uploaded to your OHSN-REB application. The original signed copy will be returned to you via internal mail. Investigator Name Coordinator Name Electronic approval (e-mail address) should be sent to Original approval (internal mailing address) should be sent to Protocol Title OHSN-REB Protocol ID# or Application Form ID#
This form (updated 2018) is required from anyone using the shared laboratory spaces (QM-74 at the Civic; Biochemistry Lab at the Riverside) or the Clinical Research Laboratory at the General Campus (CCW 3132). It must be completed in addition to EORLA / Pathology & Laboratory Medicine requirements. The purpose of the form is to assist the OHSN-REB and in clarifying your research sample procurement, processing, storage needs requirements if you will be collecting patient specimens (blood, serum, plasma, buffy coat cells) as part of your research protocol. It also will provide OHRI Administration with contact information in case of emergency / alarms. Please answer all questions and send the form to . The initial approval will be e-mailed to you and this copy may be uploaded to your OHSN-REB application. The original signed copy will be returned to you via internal mail. Investigator Name Coordinator Name Electronic approval should be sent to (e-mail address) Original approval should be sent to (internal mailing address) Protocol Title OHSN-REB Protocol ID# or Application Form ID#
10.%20Impact-to-Shared-Lab-Equipment-and-Freezers-March-2018.docx