Select the appropriate request form. Please submit one form per assay, for example one request form for Estradiol, one request form for Testosterone, etc.
Fill in all the designated fields and answer all the questions. Include the request form(s) with your shipment of samples.
The request form has a “Method of Payment” section that must to be completed prior to shipping the samples. The choices for “Method of Payment” are:
Direct Bill – pay with check or credit card – do not put any credit card information on the request form(s). The cardholder’s name, email address and phone number should be recorded on the Financial Data Form
Purchase Order (PO) – pay with a PO – make sure to record the PO number in the provided space on the request form. In addition, you will need to obtain a copy of the PO paperwork from your finance department and send an electronic version to the lab’s email at ligandcore@virginia.edu
If sample volume is limited, please prioritize the order of assay preference.
