Jump to navigation
Jump to content
Explore UAB
MyUAB
BlazerNet
Canvas
Email
Future Students
Visit UAB
opens a new website
Apply to UAB
opens a new website
Request Info
opens a new website
Undergraduate Students
Advising
opens a new website
Undergraduate Catalog
opens a new website
Request Info
opens a new website
Research and Service Learning
opens a new website
Graduate Students
Graduate School
opens a new website
Graduate Catalog
opens a new website
Online Degrees
opens a new website
Parents & Family
Services
opens a new website
Resources
opens a new website
Family Visits
opens a new website
Alumni
Get Involved
opens a new website
Benefits
opens a new website
Events
opens a new website
Faculty & Staff
Office of Provost
opens a new website
Faculty Resources
opens a new website
Staff Council
opens a new website
Researchers
Office of Research
opens a new website
Harbert Institute
opens a new website
CCTS
opens a new website
Patients
UAB Medicine
opens a new website
UAB Dentistry
opens a new website
UAB Optometry
opens a new website
Athletics
Campus Map
Give
Calendar
News
Contact Us
Colleges & Schools
Arts
&
Sciences
Collat School
of Business
Dentistry
Education
Engineering
Graduate School
Health Professions
Honors College
Medicine
Nursing
Optometry
Public Health
Explore UAB
Department of Psychiatry and Behavioral Neurobiology
Heersink School of Medicine
News
Events
Contact
Directory
Faculty
Leadership
Residents
Search
This Site
All Sites
Search
Search
Faculty
Research
Education
Clinical
About
Department of Psychiatry and Behavioral Neurobiology
Close
News
Events
Contact
Directory
Faculty
Leadership
Residents
Faculty
Research
Education
Clinical
About
Research
Research Programs
Research Faculty
Alabama Brain Collection
Become a Collaborating Researcher
Tissue Request Form
Resources
Research Labs
Less
More
in this section
Research
Research Programs
Research Faculty
Alabama Brain Collection
Become a Collaborating Researcher
Tissue Request Form
Resources
Research Labs
Psychiatry Home
Research
Alabama Brain Collection
Tissue Request Form
Alabama Brain Collection
Tissue Request Form
Alabama Brain Collection Tissue Request
General Information
Project Title:
Invalid Input
Principal Investigator (PI)
Invalid Input
PI Information
PI's Institutional Affiliation
Invalid Input
Mailing Address
Address City, State Zip Code
Invalid Input
PI's Email Address
Invalid Input
PI's Phone Number:
Invalid Input
Briefly describe the rationale of the study, the hypotheses that will be tested, and the goals for the study.
Invalid Input
Briefly describe preliminary studies and assurances that the techniques you propose to use will work in postmortem human tissue.
Invalid Input
Clinical Characteristics
DSM Diagnosis
-Pick one-
Acute stress disorder
Alcohol/Substance Abuse Disorder
Anorexia Nervosa
Attention deficit/Hyperactivity disorder (ADHD)
Autism Spectrum Disorder (ASD)]
Binge Eating Disorder
Bipolar Disorder\
Body Dismorphia
Bulimia Nervosa
Circadian Rhythm Sleep-Wake Disorder
Depersonalization Disorder
Depression
Disruptive Mood Dysregulation Disorder
General Anxiety Disorder
Hypersomnolence
Insomnia Disorder
Narcolepsy
Nightmare Disorder
Obsessive Compulsive Disorder
Panic Disorder
Phobias
Pica
Posttraumatic Stress Disorder (PTSD)
Premenstrual Dysphoric Disorder
Schizophrenia
Sleep Terror Disorder
Sleepwalking Disorder)
Social Anxiety Disorder
Specific Learning Disorder
Rapid Eye Movement Sleep Behavior Disorder
Restless Legs Syndrome
OTHER
Invalid Input
If other, please specify
Invalid Input
Medication Subgrouping
Invalid Input
Sample Demographics
Gender
Male
Female
Invalid Input
Age
-Choose age-
<1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95+
Invalid Input
Race
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
White
Invalid Input
PMI
Invalid Input
Drug History
Invalid Input
Other Information
Identify the funding source for the project or the projected funding source if tissue is needed for a pilot study.
Invalid Input
How much tissue is needed (Size of block, sections, etc.)
Invalid Input
Method of tissue preservation
(*)
Fixed
Frozen
Invalid Input
Please upload a diagram of the brain region(s) to be studied.
Add another file
Invalid Input
Request Submission
Once you submit your request, you will be notified about the decision in a timely fashion. Please note that the principal investigator is responsible for tissue processing and courier charges. If you are a UAB scientists, you will need to submit a signed Collaboration Agreement. If you are a scientist outside of UAB, we will have to exexute a Material Transfer Agreement (which acts in lieu of the Collaboration Agreement).
(*)
Invalid Input
Submit
Submit