Kidney Core Request Form

General Information

All fields marked with an * asterisk * must be completed in order to receive the core services

Research Purpose for Requested Service

Services








NOTE: We will begin charging $100/mouse for requests received after July 31, 2012. As always, shipping will be paid by the recipient.

Shipping Coordinator
(You must provide if Requesting Animals)

Animal Core Special Instructions

Veterinarian
(You must provide if Requesting Animals)

Shipping Address for Mice
(Please note that requesting PI must agree to pay all related shipping charges when requesting mice.









Physiology Core Special Instructions.

NOTE: For requests submitted after July 31, 2012, there will be a $3/assay charge for creatinine assays and a $15/sample charge for chemistry panels and blood gas.

Click here for sample submission guidelines.








Cell Biology & Pathology Special Instructions

Please indicate which of the following categories your study falls under. NOTE: As of August 1, 2012, we will begin charging for some services as indicated below.

          

Service(s) Requested:



Regulatory document preparation and monitoring. $20/hour


Internal Analysis?
If yes – please provide sample type:

Patient Management

   FMD ($300/test)  
Central Aortic Pressure ($100/test)


Submission

We ask that you agree to acknowledge the UT Southwestern O'Brien Kidney Core Research Center NIH P30DK079328 on any and all publications. If you agree, please check the following box before submitting this request. This will constitute your agreement of acknowledging the UT Southwestern O'Brien Kidney Core Research Center.

Please type the words as seen below: