Forms & Requisitions

Forms & Requisitions
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Versiti Clinical Trials

Versiti Clinical Trials requires completed requisition forms with each submitted patient sample performed at Versiti Diagnostic Laboratories. Please note: If RNA or DNA samples are being sent, isolation of nucleic acids for clinical testing must occur in a CLIA-certified lab or a lab meeting equivalent as determined by CAP and/or the CMS.

View the Versiti Diagnostic Labs test menu.

In addition to conducting comprehensive patient sample testing, Versiti Clinical Trials supports clinical trials by providing blood products for research. When requesting blood products for research, you must provide one of the following documents:

  • IRB Protocol and Approval
  • IRB Protocol and Waiver/Exemption
  • Letter of Intent and Protocol
  • Biologics License Application

Cenetron Online Kit Ordering

Study-specific laboratory manuals are created for each clinical trial and should be used when placing orders for kits and supplies. Kits must be ordered as needed – they are not automatically resupplied. To order collection kits and supplies, please: 

  • Fax the Supply Request Form  found in the Cenetron lab manual to 512-439-5000
  • Complete and submit the Supply Order Form online

View our shipping instructions.

Salus IRB

Submissions may be sent using IRBManager, our secure online submission system. Forms are found within IRBManager. For specific instances, see additional form information below.