ALLFTD Kit Request System

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M-D-Y

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205 - USA: University of Colorado

ATTN: Danelle Carter
University of Colorado, Anschutz Medical Campus
12469 E. 17th Pl.
Bldg. 400
2nd Floor, Room 217
Aurora, CO 80045-2521

Phone: (303) 724-5494
Email: danelle.carter@cuanschutz.edu

8 - USA: Indiana University

ATTN: Ralitsa Kostadinova
*Will be picking up kits at TK
*Please email Ralitsa to notify when kits are completed

Email: rkostad@iu.edu

43 - USA: University of Michigan

ATTN: Kiren Chaudhry
University of Michigan
2101 Commonwealth Blvd., Ste. A
Ann Arbor, MI 48105

Phone: 734-615-3593
Email: chaudhki@med.umich.edu

47 - USA: Vanderbilt University

ATTN: Jerica Reeder
Vanderbilt University Medical Center
1500 21st Ave. South, Ste. 2600
Nashville, TN 37212

Phone: (615) 875-2987
Email: jerica.reeder@vumc.org

67 - USA: University of Texas- San Antonio

ATTN: Tiffany Kautz
UT Health San Antonio
7703 Floyd Curl Dr. MC 8070
San Antonio, TX 78229

Phone: (210) 450-8684
Email: kautz@uthscsa.edu

3 - USA: Case Western Reserve

ATTN: Maria Toth
Brain Health and Memory Center
3619 Park East Drive, Ste. 211
Beachwood, OH 44122

Phone: (216)464-6454
Email: maria.toth@UHhospitals.org

203 - USA: Nantz National Alzheimer Center, Houston Methodist

Victoria Arbones
Nantz National Alzheimer Center
6560 Fannin St.
Scurlock Tower, Suite 750
Houston, TX 77030

Phone: 713-441-7650
Email: varbones@houstonmethodist.org

4 - USA: Columbia University

ATTN: Andrea C. Farah S.
Columbia University Medical Center
622 West 168th Street
PH- 19th Floor, Room 402
New York, NY 10032

Phone: (212)305-2371
Email: acf2184@cumc.columbia.edu

6 - USA: Emory University

ATTN: Sallie Carpentier
Emory University
6 Executive Park Dr. N.E.
2nd Floor Reception Desk
Atlanta, GA 30329

Phone: 404.712.4234
Email: scarpe3@emory.edu

7 - USA: Harvard University

ATTN: Sophia Tchir-Bourgeois
149 13th Street, Room 10.081K
Charlestown, MA 02129

Phone: 617-724-7092
Email: stchir@mgh.harvard.edu

9 - USA: Johns Hopkins University

ATTN: Fiona Sweeney
JHU School of Medicine
550 N. Broadway, Room 956
Baltimore, MD 21205

Phone: 410-929-2241
Email: fsweene4@jhu.edu

10J - USA: Mayo Clinic Jacksonville

Celeste Weems
Mayo Clinic
4500 San Pablo Rd. S.
Jacksonville, FL 32224
Campus Support Center RM 150

Email: flabapkits@mayo.edu
Email: Chrestensen.Kandise@mayo.edu

10R - USA: Mayo Clinic Rochester

ATTN: Breanna Bruender
Mayo Clinic Alzheimer's Disease Research Center
200 First St SW
CF_02_602
Rochester, MN 55905

Phone: 507-293-5551
Email: bruender.breanna@mayo.edu

11 - USA: Mount Sinai

ATTN: Anna Torten Rabinowitz
Ichan School of Medicine at Mount Sinai
Elahi Lab
1 Gustave L Levy Pl
Annenberg 20-04, Box 1137
New York, NY 10029

Phone: 972-800-8626
Email: anna.tortenrabinowitz@mssm.edu

13 - USA: Northwestern University

ATTN: Caila Ryan
300 East Superior Street, Room 8-716
Tarry Building 8th Floor
Chicago, IL 60611

Phone: 312-503-5674
Email: caila.ryan@northwestern.edu

17 - USA: University of California Los Angeles

ATTN: Alexander Sheppard
3049 Shadow Hill Circle
Thousand Oaks, CA, 91360

Phone: (805)338-2858
Email: ASheppard@mednet.ucla.edu

Please choose UCSD recipient

Michael Skipworth

Brandon Pulido/Beverly Castillo

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18 - USA: University of California San Diego

ATTN: Michael Skipworth
Altman Clinical and Translational Research Inst.
9452 Medical Center Drive, 2W 101 D4
La Jolla, CA 92037

Phone: 858-822-5751
Email: mskipworth@health.ucsd.edu

18 - USA: University of California San Diego

ATTN: Brandon Pulido/Beverly Castillo
UCSD Shiley-Marcos Alzheimer's Disease Research Center
9444 Medical Center Drive, Ste.1-100
La Jolla, CA 92037-0948

Phone:
Email: b1pulido@ucsd.edu

21 - USA: University of Pennsylvania

ATTN: Jessica Legaspi
Penn FTD Center
3700 Hamilton Walk
Richards B601
Philadelphia, PA 19104

Phone: 215-662-3596
Email: jessica.legaspi@pennmedicine.upenn.edu

204 - USA: Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas

ATTN: Melanie Pascual
Cleveland Clinic Lou Ruvo
Center for Brain Health
888 W. Bonneville Ave
Las Vegas, NV 89106

Phone: (702) 331-7049
Email: pascuam@ccf.org

26 - USA: University of Washington

ATTN: Alicia Adams
Receiving Dock
908 Jefferson St., 14NJB1444
Seattle, WA 98104

Phone: 206-221-9038
Email: adamsali@uw.edu

27 - USA: Washington University

ATTN: Tina Nolte/301 IWJ
WUSM - Center for Clinical Studies
509 S. Euclid Ave.
St. Louis, MO 63110

Phone: 314-362-3839
Email: nolte.tina@wustl.edu

28 - USA: University of Alabama-Birmingham

ATTN: Loren Brown Ashley
The University of Alabama at Birmingham
700 18th Street South
Suite 500
Birmingham, AL 35233

Phone: 205-975-2779
Email: samanthabrown@uabmc.edu

35 - USA: University of California San Francisco

ATTN: Dilanaz Unal
Memory and Aging Center
MC: 1207
675 Nelson Rising Lane, Suite 190
San Francisco, CA 94158 USA

Phone: 415-502-7518
Email: dilanaz.unal@ucsf.edu

200 - CANADA: University of British Columbia

ATTN: Jessica Luk
University of British Columbia
Division of Neurology
S183 - 2211 Wesbrook Mall
Vancouver, BC V6T 2B5
Canada

Phone: 604-822-5009
Email: jessica.luk@vch.ca

201 - USA: University of North Carolina

ATTN: Sutton Sallenger
University of North Carolina
300 Meadowmont Village Cir. Suite # 270
Chapel Hill, NC 27517

Phone: 919.843.8673
Email: allftd@neurology.unc.edu

202 - CANADA: University of Toronto

ATTN: Kasey Cortez
Toronto Western Hospital
399 Bathurst Street
14-Main Pavilion room 302
Toronto, Ontario
M5T 2S8
Canada

Phone: 416-603-5800 ext 5914
Email: Kasey.Cortez@uhn.ca

206 - USA: Neurodegenerative Disorders Clinic, NINDS/NIH

ATTN: Jody Crook
Building 10 Room 1D45, NINDS, NIH
10 Center Drive
Bethesda MD 20892-1140

Phone: 301-496-5526
Email: jody.crook@nih.gov

213- USA: Brown University/Butler Hospital

ATTN: Claudine Narayan
Butler Hospital Memory and Aging Program
Weld-309
345 Blackstone Blvd
Providence, RI 02906

Phone: 401-444-1927
Email: claudine_narayan@brown.edu

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ALLFTD Blood Kit Qty

ALLFTD Blood Kit (Finale #):

3: EDTA (Lavender-Top) Blood Collection Tube (10 ml plastic tubes) CT001
1: Screw-top (unwrapped) conical tube with blue cap (50 ml) CV019
9: Cryovial tube (2 ml) with lavender cap CV027
3: Cryovial tube (2 ml) with clear cap CV014
1: Cryovial tube (2 ml) with blue cap CV034
2: Disposable graduated transfer pipette- 3mL CV015
1: Cryovial box (holds up to 25 cryovials) CV005
1: Resealable bag ST002
1: Kit bag label LB006

Labels:
13: Plasma labels for blood collection and aliquot tubes LB003
3: Buffy coat labels for aliquot tubes LB003
6: Kit number labels LB003
4: Site and RAVE ID labels LB003

ALLFTD Blood Kit (Indiana University Only) (Finale #)

Site Supplies for Ralitsa Kostadinova:
3: EDTA (Lavender-Top) Blood Collection Tube (10 ml plastic tubes) CT001
1: Resealable bag ST002
1: Tube station #260 sticker (in ALLFTD box) LB006
1: Kit bag label LB006

Labels:
3: Plasma labels for blood collection tubes LB003
5: Kit number labels LB003
4: Site and RAVE ID labels LB003

No shipping necessary, Ralitsa will be picking up kits from TK; please place all materials in a bin with a post-it labeled "IU ALLFTD Kits" and write site coordinator's name (Ralitsa) on it. Email rkostad@iu.edu when kits are ready for pick up and say that they are outside TK-316.

For each IU blood kit, corresponding lab supplies will need to be sent to IUGB lab (see below)

Corresponding lab supplies for ALLFTD IU blood kits (included in Finale #)

Aliquoting Supplies for STAT Lab
9: Cryovial tube (2 ml) with lavender cap CV027
3: Cryovial tube (2 ml) with clear cap CV014
1: Cryovial tube (2 ml) with blue cap CV034
2: Disposable graduated transfer pipette - 3mL CV015
1: Screw-top (unwrapped) conical tube with blue cap (50 ml) CV019
1: Resealable bag ST002

Please bulk bag the above supplies (no need to separate them).

Please transfer these items to Eli's office (TK-223) or the lab (TK-217); Lab transporting to Stat lab for future processing. These supplies can be bagged in bulk (do not need to be separated into kits and do not need cryovial boxes). Please message STAT lab in Teams when supplies are ready to be picked up (Go to Teams, O365-IUGB_Lab, under Hidden channels is Stat Lab PROC, and post a message @Stat Lab that ALLFTD supplies were left with lab TK-217 or Eli's office.)

*These items are prebuilt within the IU ALLFTD blood Kits (Finale #) in Finale & will be billed collectively*

ALLFTD Blood Kit (no pipettes) (Finale #):

3: EDTA (Lavender-Top) Blood Collection Tube (10 ml plastic tubes) CT001
1: Screw-top (unwrapped) conical tube with blue cap (50 ml) CV019
9: Cryovial tube (2 ml) with lavender cap CV027
3: Cryovial tube (2 ml) with clear cap CV014
1: Cryovial tube (2 ml) with blue cap CV034
1: Cryovial box (holds up to 25 cryovials) CV005
1: Resealable bag ST002
1: Kit bag label LB006

Labels:
13: Plasma labels for blood collection and aliquot tubes LB003
3: Buffy coat labels for aliquot tubes LB003
6: Kit number labels LB003
4: Site and RAVE ID labels LB003

ALLFTD CSF Kit Qty

ALLFTD CSF Kit (Finale #):

4: Cryovial tube (2 ml) with orange cap CV017 and CV018
1: Cryovial tube (2 ml) with blue cap CV034
1: Cryovial tube box (holds up to 25 cryovials) CV005
2: Screw-top individually wrapped conical tube with blue cap (15 ml) CV029
1: Disposable graduated transfer pipette- 3mL CV015
1: Resealable bag ST002
1: Kit bag label LB006

Labels:
5: CSF labels for aliquot tubes LB003
4: Kit number labels LB003

ALLFTD CSF Kit (Indiana University Only) (Finale #)

Site Supplies for Ralitsa Kostadinova:
1: Screw-top individually wrapped conical tube with blue cap (10 ml) CV029
1: Resealable bag ST002
1: Kit bag label LB006
1: Tube station #260 sticker (in ALLFTD box) LB006

Labels:
1: Pre-printed label for CSF collection tube LB003
4: Pre-printed labels with kit number LB003

No shipping necessary, Ralitsa will be picking up kits from TK; please place all materials in a bin with a post-it labeled "IU ALLFTD Kits" and write site coordinator's name (Ralitsa) on it.

For each site kit, corresponding lab supplies will need to be sent to IUGB lab (see below)

Corresponding lab supplies for ALLFTD IU blood kits (included in Finale #)

Aliquoting Supplies for STAT Lab:
16: Cryovial tube (2 ml) with orange cap CV017 and CV018
1: Cryovial tube (2 ml) with blue cap CV034
1: Screw-top individually wrapped conical tube with blue cap (50 ml) CV056
4: Disposable graduated transfer pipette- 3mL CV015

Please bulk bag the above supplies (no need to separate them).

*These items are prebuilt within the IU ALLFTD CSF Kits (Finale #) in Finale & will be billed collectively*

ALLFTD CSF Kit (no pipettes) (Finale #)

4: Cryovial tube (2 ml) with orange cap CV017 and CV018
1: Cryovial tube (2 ml) with blue cap CV034
1: Cryovial tube box (holds up to 25 cryovials) CV005
1: Screw-top individually wrapped conical tube with blue cap (15 ml) CV029
1: Resealable bag ST002
1: Kit bag label LB006

Labels:
5: CSF labels for aliquot tubes LB003
4: Kit number labels LB003

ALLFTD Frozen Shipping Supply Kit (Batch Shipment) Qty
Can ship up to 8 blood/CSF kits

ALLFTD Frozen Shipping Supply Kit (Finale #):

8: Small Biohazard Bags with absorbent sheets SH015
1: Med frozen shipper/large brain box (large 16"x16"x 15.5") SH003
1: Warning label packet (Fragile, UN3373 labels) w/ UPS dry ice label SH048, LB008, LB016
1: Resealable bag ST002
1: Kit bag label LB006

ALLFTD Frozen Shipping Supply Kit (Toronto Only) (Finale #):

8: Small Biohazard Bags with absorbent sheets SH015
1: Med frozen shipper/large brain box (large 16"x16"x 15.5") SH003
1: Warning label packet (Fragile, UN3373 labels) w/ FedEx dry ice label SH048, LB008, LB005
1: Fedex airbill (International) SH002
1: Resealable bag ST002
1: Kit bag label LB006

ALLFTD Frozen Shipping Supply Kit (UBC Only) (Finale #):

8: Small Biohazard Bags with absorbent sheets SH015
1: Med frozen shipper/large brain box (large 16"x16"x 15.5") SH003
1: Warning label packet (Fragile, UN3373 labels) w/ UPS and FedEx dry ice labels SH048, LB008, LB016, LB005
1: Resealable bag ST002
1: Kit bag label LB006

ALLFTD Small Frozen Shipping Supply Kit
(Single Shipment) Qty

ALLFTD Small Frozen Shipping Supply Kit (Finale #):

1: Small Biohazard Bag with absorbent sheet SH015
1: Shipping box/styrofoam container (medium 11"x9"x15") SH005
1: Warning label packet (Fragile, UN3373 labels) w/ UPS dry ice label SH048, LB008, LB016
1: Resealable bag ST002
1: Kit bag label LB006

ALLFTD Supplemental Supply Kit Qty
Limit one per site

ALLFTD Supplemental Supply Kit (Finale #):

5: Cryovial tube boxes (holds up to 25 cryovials) CV005
10: EDTA (lavender top) blood collection tube (10 mL)
5: Screw-top conical tubes with blue cap individually wrapped (50 mL) CV056
6: Screw-top conical tubes with blue cap individually wrapped (15 mL) CV029
10: Cryovial tube (2 mL) with orange cap CV017 and CV018
50: Cryovial tube (2 mL) with lavender cap CV027
25: Cryovial tube (2 mL) with clear cap CV014
10: Cryovial tube (2 mL) with blue cap CV034
5: Small plastic Biohazard bag with absorbent sheet SH015
5: Disposable graduated transfer pipettes- 3mL CV015
5: Warning label packets (Fragile, UN3373, UPS dry ice label) SH048, LB008, LB016
2: Resealable bag ST002
2: Kit bag label LB006

ALLFTD EDTA Redraw/Take Home Kit Qty
For DNA/buffy coat redraw

ALLFTD EDTA Redraw/Take Home Kit (KIT10241.1):

1: EDTA (lavender top) blood collection tube (10 ml) CT001
1: Small IATA shipping box with insulated cooler (in SH008)
1: Small refrigerant pack (in SH008)
1: Aqui-Pak 6 tube absorbent pouch or small biohazard bag w/ absorbent tube sleeves (in SH008)
1: UN3373 Biological Substance Category B label (in SH008)
1: List of contents card (in SH008)
1: UPS Clinpak SH053

Labels:
1: Wholeblood label for blood collection tube LB003
1: Site and RAVE ID label LB003
2: Kit number labels LB003

Do you need Extra Supplies?

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Yes

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EDTA (Lavender-Top ) Blood Collection Tube (10 ml) Qty
CT001

25-Slot Cryobox Qty

CV005

Cryovial tubes (2 ml) with lavender cap Qty

CV027

Cryovial tubes (2 ml) with clear cap Qty

CV014

Cryovial tubes (2 ml) with orange cap Qty

CV017 and CV018

Cryovial tubes (2 ml) with blue cap Qty

CV034

Large shipping container for dry ice shipment
(shipping and styrofoam box, 16"x 16"x 15.5")

SH003

Small shipping container for dry ice shipment
(shipping and styrofoam box, 11" x 9" x 15")

SH005

Conical tube with blue cap - 50mL (unwrapped) Qty
For blood kits

CV019

Conical tube with blue cap - 50mL Qty
(Individually Wrapped for CSF)

CV056

Small Biohazard bag with absorbent sheet Qty

SH015

Disposable graduated transfer pipette (3mL) Qty

CV015

Warning label packet Qty
(Fragile, UN3373, UPS dry ice label)

SH048, LB008, LB016

UPS Clinpak Qty

SH053

UPS airbill sleeve/clear shipping pouch

SH058

RAVE ID Label

reset

LB003

Our standard shipping time for all orders is 2-3 weeks.
If you need any items from this order expedited, please indicate the earliest date you will need these supplies and write which items need to be expedited in the comment section.

M-D-Y

Our standard shipping time for all orders is 3 weeks.

We can ship this kit request by: ______

If you need any supplies in this order prior to ______, you must contact the NCRAD coordinator for this study: jazdicki@iu.edu

Comments

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NCRAD Internal Comments (Not viewable by site)

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Kit Accommodations
Site 10R: Mayo Rochester
NO TRANSFER PIPETTES NEEDED IN KITS

Kit Accommodations
Site 4: Columbia University
NO TRANSFER PIPETTES NEEDED IN KITS

Kit Accommodations
Site 21: University of Pennsylvania
NO TRANSFER PIPETTES NEEDED IN KITS

Kit Accommodations
Site 202: University of Toronto
- Include FedEx Clinpak (instead of UPS Clinpak) and International airbill for re-draw kits
- Include FedEx Airbill and B&W UN1845 Dry ice sticker (instead of UPS Dry Ice sticker) with all shipping supply kits

Kit Accommodations
Site 200: University of British Columbia
- Use both Fedex and UPS dry ice stickers in frozen shipping kit

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