Initial tissue availability enquiry

Please complete this form if you require initial information on tissue availability for your research.

When you are ready to make an application please download and complete the appropriate documents in our forms store.

Information about you and your requirements

YOUR NAME:

YOUR ORGANISATION:

YOUR EMAIL ADDRESS:

PLEASE PROVIDE A BRIEF TWO SENTENCE SUMMARY OF YOUR RESEARCH FOCUS:

PLEASE PROVIDE DETAILS OF YOUR TISSUE REQUIREMENTS (incl. SNOMED number if known):

PLEASE SELECT THE TYPE OF TISSUE YOU REQUIRE:

POST-MORTEM BIOPSY FORMALIN FIXED PARAFFIN EMBEDDED (FFPE) FROZEN DATA OTHER TYPE

IF YOU SELECTED 'OTHER TYPE' PLEASE PROVIDE FURTHER DETAILS:

PLEASE PROVIDE AN ESTIMATE OF THE NUMBER OF CASES YOU REQUIRE:

BRAIN UK and the network of Participating Centres aim to exercise responsible stewardship of archived neurological tissues and to maximize their benefits to research. The information requested is to enable all applications to be considered fairly and consistently and to fulfil our ethical obligations. All information is treated in the strictest confidence and is processed in accordance with the Data Protection policies of the University of Southampton.

If you are human, do not fill this out