Biobank Form – Biobank FK-KMK UGM

The following is the form used in the FMPHN UGM Biobank and can be downloaded from the link below :

An agreement between FMPHN UGM Biobank and a client/researcher to carry out the process of managing biospecimen and related data.

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A request form for an aliquot on a sample. This form is filled in by the PI/Researcher.

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A report containing a list of samples that have been destroyed. This report is submitted to the researcher/client entitled to the sample.

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An agreement between FMPHN UGM Biobank and a client/researcher who was contracted to manage biospecimen to deliver material.

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A list of samples to be withdrawn from the biobank by the PI/researcher

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A list of samples to be withdrawn from the biobank by the PI/researcher

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A report contains additions and/or reductions in data and biosamples stored in the Biobank FMPHN UGM (monthly and yearly).

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A form to record patient demographic data (name, date of birth, medical record number, address, clinical condition).

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A form to record biosample transactions from sampling, temporary storage (if needed), and time of arrival at Biobank FMPHN UGM.

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A form to record processing time from centrifugation (if needed) to storage in the Freezer -80C, including the temperature and speed used.

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The file is password-protected. To download/access the file above, please get in touch with the Biobank Admin: biobank.fkkmk@ugm.ac.id