Date Request Submitted by Site
Today M-D-Y
PPMI Site
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001 - Univ. of Rochester 002 - Columbia Univ. Medical Center 004 - University of Michigan 006 - Oregon Health & Science Univ. 007 - Baylor College of Medicine 009 - Toronto Western Hospital 016 - The Ottawa Hospital 017 - Massachusetts General Hospital 018 - Univ. of Pennsylvania 019 - Univ. of South Florida 023 - Univ. of California San Diego 028 - Johns Hopkins Univ. 029 - University of Kansas 032 - Emory Univ. 033 - Keck School of Medicine of USC 034 - Inst. for Neurodegenerative Disorders 038 - Barrow Neurological Institute 040 - Boston Univ. 057 - Univ. of Alabama Birmingham 060 - Mayo Clinic - AZ 073 - Univ. of California San Francisco 086 - Beth Israel Medical Center 088 - Northwestern Univ. 089 - Univ. of Cincinnati 096 - Univ. of Washington & VA Puget Sound 108 - University of Colorado 120 - Cleveland Clinic 136 - NYU Langone 154 - Banner Research Institute 164 - Hospital Pitie-Salpetriere 160 - University of Florida 168 - University of Pittsburgh 196 - Parkinson's Disease & Movement Disorders 217 - Montreal Neurological Institute-Hospital 289 - Univ. of Tuebingen 290 - Paracelsus-Elena Klinik 291 - Innsbruck Medical Univ. 295 - Imperial College London 304 - Macquarie Univ 306 - Hospital Donostia 307 - Hospital Clinic de Barcelona. 308 - St. Olavs Hospital 311 - Las Vegas (Cleveland Clinic) 327 - Univ. of Salerno 334 - Tel Aviv Sourasky Med Ctr 335 - Attiko Hospital Athens 401 - Newcastle University 402 - Oxford University Foundation Trust 403 - University of Lbeck 404 - Radboud University 405 - Lagos 406 - Luxembourg 407 - Marburg 408 - East London
001 - USA: University of Rochester
002 - USA: Columbia University Medical Center
004 - USA: University of Michigan
006 - USA: Oregon Health & Science University
007 - USA: Baylor College of Medicine
009 - CANADA: Toronto Western Hospital
016 - CANADA: The Ottawa Hospital
017 - USA: Massachusetts General Hospital
018 - USA: University of Pennsylvania
019 - USA: University of South Florida
023 - USA: University of California San Diego
028 - USA: Johns Hopkins University
029 - USA: University of Kansas
032 - USA: Emory University School of Medicine
033 - USA: Keck School of Medicine of USC
034 - USA: Institute for Neurodegenerative Disorders
038 - USA: Barrow Neurological Institute
040 - USA: Boston University
057 - USA: University of Alabama at Birmingham
060: USA: Mayo Clinic - AZ
073 - USA: University of California San Francisco
086 - USA: Beth Israel Medical Center
088 - USA: Northwestern University
089 - USA: University of Cincinnati
096 - USA: University of Washington and VA Puget Sound Health Care System
108 - USA: University of Colorado
120 - USA: Cleveland Clinic
136 - USA: NYU Langone
154 - USA: Banner Research Institute
160- USA: University of Florida
164 - FRANCE: Hospital Pitie-Salpetriere
168 - USA: University of Pittsburgh
196 - USA: Parkinson's Disease & Movement Disorders Center of Boca Raton
217 - CANADA: Montreal Neurological Institute-Hospital
289 - GERMANY: University of Tuebingen
290 - GERMANY: Paracelsus-Elena Klinik
291 - AUSTRIA: Innsbruck Medical University
295 - UK: Imperial College London
304 - AUSTRALIA: Macquarie University
306 - SPAIN: Hospital Donostia
307 - SPAIN: Hospital Clinic de Barcelona
308 - NORWAY: St. Olavs Hospital
311 - USA: Las Vegas (Cleveland Clinic)
327 - ITALY: University of Salerno
334 - ISRAEL: Tel Aviv Sourasky Medical Center
335 - GREECE: Attiko Hospital Athens
401 - UK: Newcastle University
402 - UK: Oxford University Foundation Trust
403 - GERMANY: University of Luebeck
404 - NETHERLANDS: Radboud University
405: NIGERIA: Lagos Teaching Hospital
Site 406: LUXEMBOURG: University of Luxembourg
407 - GERMANY: Marburg University
408 - East London
Is the contact name above correct?
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Yes
No
New Contact Name
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Is the shipping address above correct?
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Yes
No
Is the email address above correct?
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Yes
No
New Shipping/E-mail Address
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Please refer to the kit schedule when ordering your kits
If you have difficulty viewing the kit schedule above, you can download the image here.
PLEASE NOTE!
Unless stated to be urgent , kit requests will be fulfilled within two weeks of the order date.
PLEASE NOTE: Shippers will not be included automatically in your kit request. They must be requested separately here.
CSF Kit - Quantity
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Include Lumbar Puncture (LP) Kits?
* must provide value
Yes
No
Lumbar Puncture (LP) Kit - Quantity
* must provide value
Each CSF Kit Contains:
Kit 1 - Quantity
* must provide value
Kit 1 - PPMI IDs
* must provide value
separate multiple IDs with a comma (1234, 3456), enter 9999 if n/a
Kit 1 - Cohorts
* must provide value
separate multiple cohorts with a comma (PD, HC), enter 9999 if n/a
Kit 1 - Subject Visit
* must provide value
separate multiple visits with a comma (V02, BL, V18), enter 9999 if n/a
Include Lumbar Puncture (LP) Kits?
* must provide value
Yes
No
Lumbar Puncture (LP) Kit - Quantity
* must provide value
Each Kit 1 Contains:
Blood + Urine Kit - Quantity
* must provide value
Each Blood + Urine Kit Contains:
Label Rolls - Quantity
* must provide value
enter 0 if no labels needed for this order
Each Study Label Roll Includes:
Kit 2 - Quantity
* must provide value
Kit 2 - PPMI IDs
* must provide value
separate multiple IDs with a comma (1234, 3456), enter 9999 if n/a
Kit 2 - Cohorts
* must provide value
separate multiple cohorts with a comma (PD, HC), enter 9999 if n/a
Kit 2 - Subject Visit
* must provide value
separate multiple visits with a comma (V02, BL, V18), enter 9999 if n/a
Each Kit 2 Contains:
Single Punch Biopsy Kit - Quantity
* must provide value
Skin biopsy will be collected for subjects transitioning from PPMI 1.0 to PPMI 2.0 at the first feasible post-transition visit. Skin biopsy will be collected for newly enrolled PPMI 2.0 subjects at BL, V06, and V10.
Each Single Punch Biopsy Kit Contains:
NOTE For your site, Double-Punch Skin Biopsy Kits will contain two 2mL cryovials for double-frozen skin sample collection, and will not contain a formalin container nor a tissue cassette.
Double Punch Biopsy Kit - Quantity
* must provide value
Skin biopsy will be collected for subjects transitioning from PPMI 1.0 to PPMI 2.0 at the first feasible post-transition visit. Skin biopsy will be collected for newly enrolled PPMI 2.0 subjects at BL, V06, and V10.
Double Punch (Double Frozen) Biopsy Kit - Quantity
* must provide value
Skin biopsy will be collected for subjects transitioning from PPMI 1.0 to PPMI 2.0 at the first feasible post-transition visit. Skin biopsy will be collected for newly enrolled PPMI 2.0 subjects at BL, V06, and V10.
Each Double-Punch (Double Frozen) Biopsy Kit Contains:
Each Double Punch Biopsy Kit Contains:
Prodromal Screening Kit - Quantity
* must provide value
Each Prodromal Screening Kit Contains:
Sub-Study WB010 Kit Quantity
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DO NOT ORDER, SUB STUDY PAUSED AT THIS TIME
Each Sub-Study WB010 Kit Contains:
Supplemental Kit Quantity
* must provide value
max 3
Supplemental Kit
* must provide value
Yes
No
Each Supplemental Kit Contains:
Frozen Shipping Kit Quantity:
Each Frozen Shipping Kit Includes:
Ambient Shipping Kit Quantity:
Each Ambient Shipping Kit Includes:
International Shipping Kit Quantity:
Each International Shipping Kit Includes:
Each Study Label Roll Includes:
Labels Only - PPMI IDs
* must provide value
separate multiple IDs with a comma (1234, 3456)
Labels Only - Subject Cohort
* must provide value
separate multiple cohorts with a comma (PD, HC), enter 9999 if n/a
Labels Only - Subject Visit
* must provide value
separate multiple visits with a comma (V02, BL, V18), enter 9999 if n/a
Are HVLT forms needed in a language other than English?
Yes
No
Select HVLT language(s) needed:
max 5
BJLO Score Sheet Quantity
BNT Picture Book Quantity
BNT Record Booklet Quantity
Are UPSITs needed in a language other than English?
Yes
No
Select UPSIT language(s) needed:
For each item that you are requesting, indicate the quantity.