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Steps to becoming a CHTN member:
1. Complete a CHTN application (a link is below these steps).
2. Sign the CHTN Data Use Agreement. Please contact
Traci Jordan to get
a copy of the form.
3. Sign the CHTN Human Subjects Agreement. Please contact
Traci Jordan to get
a copy of the form.
4. Provide a copy of your human use approval to receive tissue from the CHTN. Either
a full or expedited approval from your Institutional Review Board. If your institution
does not have an IRB office, please sign the Human Subjects Agreement.
5. Submit all four documents (Application, Human Subjects Agreement, IRB approval or
Human Subjects Agreement, Data Use Agreement) via fax to the CHTN Midwestern Division
at 614-293-7013.
Application:
In order for the CHTN to collect and to provide human
research material of the highest quality, each investigator
is required to complete a detailed tissue request form.
The investigator indicates the type and amount of tissue
needed, describes tissue storage and transfer conditions
(e.g., media, snap freezing and sterility requirements)
and specifies limiting factors in tissue collection (e.g.
age, sex, etc.). The CHTN makes every effort to tailor
collection, storage and distribution methods to the needs
of each investigator. It is advisable to discuss your
request with the coordinator of the CHTN. The coordinator
can provide additional information about the availability
of specimens, help you to refine your request to ensure
access to the greatest number of suitable specimens, and
guide you through the application process.
The application is available in both plain
text (ASCII) and
PDF formats.
The PDF version can be viewed using Adobe ® Acrobat
® Reader. This format allows documents to be transferred
electronically and viewed on many platforms while preserving
the original document's layout. The Adobe ® Reader
is available free by selecting their symbol below.
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