Forms

Request for Samples

Completed forms may be sent to either the Michigan Department of Health and Human Services at atkinsons2@michigan.gov

Michigan Department of Health and Human Services IRB Review Application

All studies that propose to use the dried blood spots must be approved by the Michigan Department of Health and Human Service's Institutional Review Board.  Send the completed request for IRB review to atkinsons2@michigan.gov

Data Use Agreement

Researchers who request data along with samples should contact The Michigan Department of Health and Human Services at atkinsons2@michigan.gov for information about completing this form.

Material Transfer Agreement

Before samples can be sent the requestor must sign a Material Transfer Agreement. Send the completed form to atkinsons2@michigan.gov