Future Uses of the Department of Defense Joint Pathology Center Biorepository (2012)

Chapter: Appendix B: Contributor's Consultation Request Form Joint Pathology Center

Previous Chapter: Appendix A: Public Meeting Agendas
Suggested Citation: "Appendix B: Contributor's Consultation Request Form Joint Pathology Center." Institute of Medicine. 2012. Future Uses of the Department of Defense Joint Pathology Center Biorepository. Washington, DC: The National Academies Press. doi: 10.17226/13443.

Appendix B

Contributor’s Consultation Request Form Joint Pathology Center

As noted in the report text, the Joint Pathology Center uses a standardized form for obtaining clinical data associated with the specimens submitted to it for consultation. What follows is a reproduction of the version of this form posted to the JPC website (www.jpc.capmed.mil/docs/consultation_request_form.pdf) when the committee completed its work in mid-2012. The form is dated 03/30/2011.

Suggested Citation: "Appendix B: Contributor's Consultation Request Form Joint Pathology Center." Institute of Medicine. 2012. Future Uses of the Department of Defense Joint Pathology Center Biorepository. Washington, DC: The National Academies Press. doi: 10.17226/13443.
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Suggested Citation: "Appendix B: Contributor's Consultation Request Form Joint Pathology Center." Institute of Medicine. 2012. Future Uses of the Department of Defense Joint Pathology Center Biorepository. Washington, DC: The National Academies Press. doi: 10.17226/13443.
image
Suggested Citation: "Appendix B: Contributor's Consultation Request Form Joint Pathology Center." Institute of Medicine. 2012. Future Uses of the Department of Defense Joint Pathology Center Biorepository. Washington, DC: The National Academies Press. doi: 10.17226/13443.

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Suggested Citation: "Appendix B: Contributor's Consultation Request Form Joint Pathology Center." Institute of Medicine. 2012. Future Uses of the Department of Defense Joint Pathology Center Biorepository. Washington, DC: The National Academies Press. doi: 10.17226/13443.
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Suggested Citation: "Appendix B: Contributor's Consultation Request Form Joint Pathology Center." Institute of Medicine. 2012. Future Uses of the Department of Defense Joint Pathology Center Biorepository. Washington, DC: The National Academies Press. doi: 10.17226/13443.
Page 142
Suggested Citation: "Appendix B: Contributor's Consultation Request Form Joint Pathology Center." Institute of Medicine. 2012. Future Uses of the Department of Defense Joint Pathology Center Biorepository. Washington, DC: The National Academies Press. doi: 10.17226/13443.
Page 143
Suggested Citation: "Appendix B: Contributor's Consultation Request Form Joint Pathology Center." Institute of Medicine. 2012. Future Uses of the Department of Defense Joint Pathology Center Biorepository. Washington, DC: The National Academies Press. doi: 10.17226/13443.
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Next Chapter: Appendix C: DoD Instruction 3216.02 Protection of Human Subjects and Adherence to Ethical Standards in DoD-Supported Research
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