Procedure Request Forms

Before you submit a request form, note that you need avalid animal use protocol number.

Please visit the Office of Research: Animal Care and Use Committee webpage for information about obtaining a protocol number if you don't already have one.

Click on the links below to download a copy of the appropriate request form(s). The request forms can be completed on your computer and printed, or you may print out blank copies and complete them by hand.

The forms must be submitted on paper; please do not e-mail completed forms.

• Pronuclear Microinjection Request Form* (Transgenic Mice)
• Blastocyst Microinjection Request Form* (Embryonic Stem Cell Microinjection)
• Gene Targeting Request Form*
• Embryo Rederivation Request Form*
• Mouse Genotyping Request Form*
  
  *Links open .pdf documents

   

Questions About the Forms?

• Liqing Yu, MD PHD: Director, Transgenic Mouse Core Facility Phone: 336-716-0920 /
  E-mail: lyu@wakehealth.edu
  
• Lihong Shi, MD: Transgenic Mouse Specialist Phone: 336-713-7008 /
  E-mail:lishi@wakehealth.edu
  
• Feng Guo, MD: Transgenic Mouse Specialist Phone: 6-0401; 336-716-5327 /
  E-mail: fguo@wakehealth.edu
  
• If you have problems opening and/or using the forms,contact the webmaster, Nora Streed, at 336-713-4341.

 

Links

• Return to Transgenic Mouse Core Facility Main Page
• Return to Generation of Transgenic Mice Page
• Return to Generation of Knock-out Mice Page
• Return to Embryo Rederivation Page

 

Go to Animal Care and Use Committee Website