NYU Langone Medical Center
Immune Monitoring Core
Office of Collaborative Science
Lab: Tisch 355 Ph: 212 263-8035
OCS.IMC@nyumc.org
Multiplex Assay Consultation Form
Date:________________
Name: ________________________
Email:________________________
Phone #:_______________________
Department: ___________________
PI: _________________________
Study #________________________
Chartfield #:____________________
Study Title: _________________________________________________________
Sample Type (plasma, serum, supernatants, etc) _______________
# Samples:_______________________________________________
Species (human, mouse,etc): ________________________________
Have you already collected your samples?______________________
Replicates greater than 2?____________________
Analytes:
Instructions for multiplex assay consultation:
1. To plan a project, please complete the above information.
2. Consultation includes experimental design and creation of a budget.
3. Consultation fee is $60.00/hr