Emory Primate Center (EPC) Biomarkers Core:
Assay Request Form

PLEASE READ INSTRUCTIONS: If requesting multiple tests or panels, please submit a separate request for EACH analyte-sample type (e.g. cortisol-saliva and cortisol-plasma). If the same funding information pertains to all requests, client laboratory information only needs to be entered with the first request submission.

ASSAY AND SAMPLE INFORMATION

Species

Platform

The EPC BMC quantifies small molecules using immunoassays (e.g., ELISA) or liquid chromatography-tandem mass spectrometry (LC-MS/MS). A list of molecules measured on each platform can be found on our website under the assay catalog. If further consultation is needed to determine the most appropriate platform, please provide a brief description under 'Special Requests'. SELECT ONE TO DISPLAY SPECIFIC ASSAYS.

LC-MS/MS

Immunoassay

Need consultation

Special Requests

The EPC Biomarkers Core develops and validates immunoassays on a case by case basis. Please provide a brief description of the desired assay. A member of the EPC BMC team will contact you to discuss the needs of your project.

No. of Samples

Number provided will be used to estimate cost of requested test. If a different number of samples is sent, additional charges may occur.

Sample List File Attachment

Please attach your sample list here.

Drop your files here

Do you want your samples returned?

The EPC BMC will only hold samples for 1 year in order to re-run assays or for additional assay requests. If you are a non-Emory client and you answered YES, please provide a FEDEX number.

Yes

FEDEX number in order to return samples (non-Emory Clients only)

Are your samples part of a longitudinal study?

STUDY INFORMATION

Please fill out all required information for reporting purposes.

Principal Investigator (Last name)

Principal Investigator (First Name)

PI email address

Submitter (First name, Last Name)

Submitter email address

Institution

Laboratory Address

Information will be used to make shipping labels in order to receive and return samples to both internal and external users.

Returning Client?

Please answer YES, if the PI has previously used the EPC BMC in past studies.

Yes

FUNDING INFORMATION

Please fill out all required information for reporting purposes. If submitting samples from multiple funding sources, please submit one request per funding source. Please state in the comment section which samples should be analyzed together.

Type of Funding Source

ANY ADDITIONAL INFORMATION OR QUESTIONS?

Send me a copy of my responses

Report Abuse

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Emory Primate Center (EPC) Biomarkers Core: Assay Request Form

ASSAY AND SAMPLE INFORMATION

STUDY INFORMATION

FUNDING INFORMATION

Emory Primate Center (EPC) Biomarkers Core:
Assay Request Form