Sample Forms

Choose a link below and fill out details for your sample analysis. Then submit your samples to our laboratory in person or by mail to the address at the bottom of the page.
Please include a list of sample IDs with your samples.

Links to Sample Request Forms

To submit a sample request form as a member of the public, please use this link
Public Sample Request

To submit a sample request form from an academic institution other than OHSU, please go to the following link
Academic (Non-OHSU) Sample Request

To submit a sample request form from OHSU, please use the link below
OHSU Sample Request

Submitting Samples

Samples may be mailed to the address below. If you would like to drop them off in person, please see Contact Us for useful information on locating and visiting our laboratory.

Dr. Martina Ralle 
Department of Molecular and Medical Genetics
Oregon Health & Science University
3181 SW. Sam Jackson Park Rd
Portland, OR
Over 200 sample tubes, ready for large scale testing