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Specimen Request Letter
Standard Operating Procedure (SOP)
Rules for Tissue Use
Chris Koenig, MS, ATC Facility Manager Department of Orthopaedics and Rehabilitation PO Box 112727 Gainesville, FL 32611
Phone: 352.273.7372
Fax: 352.273.7426
Orthopaedics WebSite UF Web with Google UF Phonebook
Event Sponsor: *
Event/Function Title: *
Please enter a contact e-mail: *
Event Description/Details:
Choices of Date(s) for the Event:
Date Request 1
Date Request 2
Date Request 3
Anticipated number of attendees/participants: *
Lab rental amount requested *
Full lab (5 stations + 1 Instructor's station)
Half lab (up to 3 stations)
Per station: Number of Stations desired IF you selected "Per Station" Above: 1 2 3 4 5
Lab rental time reqested *
Full day
Half day
Equipment/supply requests of items desired to be provided:
1) Integration: *
2) Conference Room: *
3) Instrumentation (We provide soft tissue, basic shoulder/hand/elbow/knee sets.): *
4) Specimens: *If you are requesting specimens, you MUST fill out the Speciment Request Letter.
5) Scrubs: *
6) Storage: *
7) Specialty Equipment (i.e. C-arm, microscopes), Please describe: *
Hotel Arrangements Required: *
Catering Required: *
Items for event that will be provided/brought/shipped ahead of time or delivered by the event sponsor: *