Tissue Resource and Applications Core

Tissue Request Package

This package contains four forms. All forms must be completed and returned to:
Janet Heins
Coordinator, Tissue Acquisition & Distribution Facility
Huntsman Cancer Institute
2000 Circle of Hope, Room 3361
Salt Lake City, UT 84112-5550

  1. Application For Use Of Surplus Tissue from Consented Human Subjects


  2. Tissue Transfer Agreement


  3. Statement of Confidentiality


  4. Disclosure and Consent For Use Of Tissue For Research

Forms