Complete Our Request Research Tissue Form

Contact Name**
Laboratory
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University/Company/Organization
Facility Phone
Ship to Address
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What type of tissue are you requesting?
Will this tissue be normal or diseased? If diseased- What disease are you looking to obtain? Are there any additional requirements?
Are there any medical rule outs for your project?
Are there any age rule outs for your project?
Are IOLs ok? Any other ocular surgery rule outs?
What is the maximum death to recovery time? If needed, what is the maximum death to processing?
What is the maximum death to researcher time you can use?
We offer the following serologies (HIV, HepBsAg, HCV) at no charge. Do you require other serologies?
What type of fixative or media do you want the tissue in? Standard is moist chamber for whole globes and Optisol GS for corneas. Do you require any post-recovery processing or treatment?

Request Research Tissue Form