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FDgj2JSP9IdCkWijxHGsXB99Acfbjzx8HB2IKKE

Psychiatric Biomarkers Network Kit Request System

Blood and CSF collection supplies have expiration dates determined by the manufacturer. Please limit the quantities in your request to kits/supplies you will use in the next 2-3 months. Thank you!

Please provide your preferred email address to receive notifications about this request

Study Site

Icahn School of Medicine at Mount Sinai

Site Contact: Byron Ramirez

Shipping Address:
Icahn School of Medicine at Mount Sinai
1470 Madison Ave, 8th Floor, Room 302
(101St Between Madison and 5th Ave)
New York, NY 10029

Phone: (347) 543-6065
Email: byron.ramirez@mssm.edu

Perelman School of Medicine at UPenn

Site Contact: Tarlan Daryoush

Shipping Address:
3400 Spruce Street
10th Floor, Gates Pavilion, HUP
Philadelphia, PA 19104

Phone: (267) 254-5607
Email: tarlan.daryoush@pennmedicine.upenn.edu

Yale School of Medicine

Site Contact: Gabrielle Germain

Shipping Address:
2 Church Street South
Suite 409
New Haven, CT 06519

Phone: (203) 626-1105
Email: gabrielle.germain@yale.edu

Northwell Health

Site Contact: Santiago Alvarez

Shipping Address:
Zucker Hillside Hospital
Behavioral Health Pavilion
Psychiatry Research - Basement
75-59 263rd Street
Glen Oaks, NY 11004

Phone: (516) 806-8764
Email: Salesmes@northwell.edu

Is the information listed for your site correct?

Yes

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Which information needs to be updated?

Contact name

Shipping address

Phone number

Email address

New contact name:

New shipping address:

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New telephone number:

New e-mail address:

Date of request

M-D-Y

Projected ship date

View equation

What kit(s) and/or supplies do you need?

Please note, the STANDARD kit should be utilized for all visits unless the participant has not consented to collection of blood for PBMCs.

STANDARD (complete blood & CSF kit)

ALTERNATE (blood & CSF Kit without PBMC collection and shipping supplies)

Subject Labels

Extra Supplies

How many STANDARD Kits do you need?	Case (SCZ or BD)
How many STANDARD Kits do you need?	Control

Control kits will not include supplies for anti-NMDA receptor sample collection or shipping.

How many ALTERNATE Kits do you need?	Case (SCZ or BD)
How many ALTERNATE Kits do you need?	Control

Control kits will not include supplies for anti-NMDA receptor sample collection or shipping. Please order Case kits for CHR participants.

What subject IDs should be printed on the labels?

Please separate individual IDs with a comma or request a range of IDs (ex. 456789-456795).

EDTA tube, 10 mL (glass)

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Serum tube, 10 mL (glass)

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PAXgene™ RNA tube, 2.5 mL

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NaHep tube, 10 mL

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SST tube, 5mL

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Purple-capped cryotube, 2 mL

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Red-capped cryotube, 2 mL

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Blue-capped cryotube, 2 mL

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Clear-capped cryotube, 2 mL

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Orange-capped cryotube, 2 mL (Corning)

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Disposable pipettes, 3mL

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Orange-cap Conical tube, 15 mL

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Conical tube, 50 mL

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Orange-capped cryotube, 4mL

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22G LP Tray

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22G LP Needle w/ introducer, 3.5"

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22G LP Needle w/ introducer, 4.75"

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Medication transfer filter straw

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Sterile Conical tube,15mL

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Ambient shipping kit

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Frozen shipping box (small)

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95kPa biohazard bag w/ absorbent sheet (large)

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UN3373 Category B labels

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Blue UPS Dry Ice label

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Clear UPS Label Sleeves

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Frozen shipping box (XS) - for UPenn NMDA samples

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Your request will ship by ______. If you need kits or supplies sooner, please provide the date needed.

Although we will do our best to accomodate your request, please note that we cannot garuntee same-week receipt of kits or supplies.

M-D-Y

Please provide any other information we should have about your request

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Each STANDARD Collection Kit includes:

Blood Collection Contents:
1 - Gold-top SST tube (5 ml)
1 - Red-top glass serum tube (10 ml)
2 - Green-top sodium heparin tube (10 ml)
1 - Purple-top glass EDTA tube (10 ml)
2 - PAXgene™ tube (2.5 ml)
3 - Cryogenic vials (2 ml) with red caps
3 - Cryogenic vials (2 ml) with purple caps
1 - Cryogenic vial (2 ml) with clear cap
1 - Cryogenic vial (2 ml) with orange cap (Corning) included in CASE kits only
3 - Cryogenic vials (2 ml) with blue caps
2 - Orange-cap screw-top centrifuge tubes (15 ml)
2 - Transfer pipette (3ml)

CSF Collection Contents:
2 - Blue-cap sterile screw-top centrifuge tubes (15 ml)
20 - Cryogenic vials (2 ml) with clear caps
2 - Cryogenic vials (2 ml) with orange caps (Corning) CASE kits get 2 orange 2ml tubes; CONTROL kits get 1 orange 2ml tube
1 - Cryogenic vial (4 ml) with orange cap
1 - Lumbar puncture tray (22G)
1 - Medication transfer filter straw
1 - Transfer pipette (3ml)

Shipping Materials (for repository samples):
1 - Set of protective bubble pouches for tubes
1 - 81-slot Cryobox
1 - Shipping container for dry ice shipments (small)
1 - 95 kPa biohazard bag with absorbent sheet (large)
1 - Shipping label packet (blue UPS dry ice label)
2 - Clear UPS label sleeves
2 - Shipping instruction sheets (ambient & frozen)
1 - Ambient shipping box with coldpack and biohazard bag
1 - Ambient shipping overpack

1 - Set of specimen labels CASE kits need NMDA labels

NMDA Shipping Materials (yellow bag, included in CASE kits only):
1 - Shipping container for dry ice shipments (XS)
1 - 95 kPa biohazard bag with absorbent sheet (small)
1 - Shipping label packet (blue UPS dry ice label)
1 - Shipping instruction sheets (NMDA)
1 - UPS Pre-printed Airbill

Each STANDARD Collection Kit includes:

Blood Collection Contents:
1 - Gold-top SST tube (5 ml)
1 - Red-top glass serum tube (10 ml)
2 - Green-top sodium heparin tube (10 ml)
1 - Purple-top glass EDTA tube (10 ml)
2 - PAXgene™ tube (2.5 ml)
3 - Cryogenic vials (2 ml) with red caps
3 - Cryogenic vials (2 ml) with purple caps
1 - Cryogenic vial (2 ml) with clear cap
1 - Cryogenic vial (2 ml) with orange cap (Corning) included in CASE kits only
3 - Cryogenic vials (2 ml) with blue caps
2 - Orange-cap screw-top centrifuge tubes (15 ml)
2 - Transfer pipette (3ml)

CSF Collection Contents:
2 - Blue-cap sterile screw-top centrifuge tubes (15 ml)
20 - Cryogenic vials (2 ml) with clear caps
2 - Cryogenic vials (2 ml) with orange caps (Corning) CASE kits get 2 orange 2ml tubes; CONTROL kits get 1 orange 2ml tube
1 - Cryogenic vial (4 ml) with orange cap
1 - Lumbar puncture tray (22G)
1 - Medication transfer filter straw
1 - Transfer pipette (3ml)

Shipping Materials (for repository samples):
1 - Set of protective bubble pouches for tubes
1 - 81-slot Cryobox
1 - Shipping container for dry ice shipments (small)
1 - 95 kPa biohazard bag with absorbent sheet (large)
1 - Shipping label packet (blue UPS dry ice label)
1 - Clear UPS label sleeves
2 - Shipping instruction sheets
1 - Ambient shipping box with coldpack and biohazard bag
1 - Ambient shipping overpack

1 - Set of specimen labels CASE kits need NMDA labels

Each ALTERNATE Collection Kit includes:

Blood Collection Contents:
1 - Gold-top SST tube (5 ml)
1 - Red-top glass serum tube (10 ml)
1 - Purple-top glass EDTA tube (10 ml)
2 - PAXgene™ tube (2.5 ml)
3 - Cryogenic vials (2 ml) with red caps
3 - Cryogenic vials (2 ml) with purple caps
1 - Cryogenic vial (2 ml) with clear cap
1 - Cryogenic vial (2 ml) with orange cap (Corning) included in CASE kits only
3 - Cryogenic vials (2 ml) with blue caps
2 - Orange-cap screw-top centrifuge tubes (15 ml)
2 - Transfer pipette (3ml)

CSF Collection Contents:
2 - Blue-cap sterile screw-top centrifuge tubes (15 ml)
20 - Cryogenic vials (2 ml) with clear caps
2 - Cryogenic vials (2 ml) with orange caps (Corning) CASE kits get 2 orange 2ml tubes; CONTROL kits get 1 orange 2ml tube
1 - Cryogenic vial (4 ml) with orange cap
1 - Lumbar puncture tray (22G)
1 - Medication transfer filter straw
1 - Transfer pipette (3ml)

Shipping Materials (for repository samples):
1 - Set of protective bubble pouches for tubes
1 - 81-slot Cryobox
1 - Shipping container for dry ice shipments (small)
1 - 95 kPa biohazard bag with absorbent sheet (large)
1 - Shipping label packet (blue UPS dry ice label)
2 - Clear UPS label sleeves
1 - Shipping instruction sheet (frozen)

1 - Set of specimen labels CASE kits need NMDA labels

NMDA Shipping Materials (yellow bag, included in CASE kits only):
1 - Shipping container for NMDA dry ice shipments (XS)
1 - 95 kPa biohazard bag with absorbent sheet (small)
1 - Shipping label packets (blue UPS dry ice label)
1 - Shipping instruction sheet (NMDA)
1 - UPS Pre-printed Airbill

Each ALTERNATE Kit includes:

Blood Collection Contents:
1 - Gold-top SST tube (5 ml)
1 - Red-top glass serum tube (10 ml)
1 - Purple-top glass EDTA tube (10 ml)
2 - PAXgene™ tube (2.5 ml)
3 - Cryogenic vials (2 ml) with red caps
3 - Cryogenic vials (2 ml) with purple caps
1 - Cryogenic vial (2 ml) with clear cap
1 - Cryogenic vial (2 ml) with orange cap (Corning) included in CASE kits only
3 - Cryogenic vials (2 ml) with blue caps
2 - Orange-cap screw-top centrifuge tubes (15 ml)
2 - Transfer pipette (3ml)

CSF Collection Contents:
2 - Blue-cap sterile screw-top centrifuge tubes (15 ml)
20 - Cryogenic vials (2 ml) with clear caps
2 - Cryogenic vials (2 ml) with orange caps (Corning) CASE kits get 2 orange 2ml tubes; CONTROL kits get 1 orange 2ml tube
1 - Cryogenic vial (4 ml) with orange cap
1 - Lumbar puncture tray (22G)
1 - Medication transfer filter straw
1 - Transfer pipette (3ml)

Shipping Materials (for repository samples):
1 - Set of protective bubble pouches for tubes
1 - 81-slot Cryobox
1 - Shipping container for dry ice shipments (small)
1 - 95 kPa biohazard bag with absorbent sheet (large)
1 - Shipping label packet (blue UPS dry ice label)
1 - Clear UPS label sleeves
1 - Shipping instruction sheet

1 - Set of specimen labels CASE kits need NMDA labels

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