Research Project Request Form

LifeShare of Oklahoma welcomes the opportunity to support the donation of organs and tissues for research to help expand the knowledge and understanding of diseases and health systems that could lead to improvements in treatment and care.

If you are interested in obtaining data or donated biospecimens for your project, please fill out the requested information below.

After completing the form, LifeShare’s research team will begin assessing the scope of the request and will contact you to discuss your protocols and how we can fulfill them. Please be as specific as possible with details requested and if you have any questions or concerns please feel free to e-mail us.

RESEARCH PROJECT REQUEST FORM

PRINCIPAL INVESTIGATOR INFORMATION

PRIMARY CONTACT INFORMATION

PROJECT INFORMATION

BIOSPECIMEN INFORMATION (Skip all the questions below if this is a data only request)

RECOVERY INFORMATION

FINANCE/INVOICE CONTACT