Core Services Request Form

The District of Columbia Center for AIDS Research provides a variety services to HIV investigators at participating institutions.

To request a service, please include as much information as possible to assist us as we proccess your request. 

Investigator Information

If you selected 'other' please indicate your institutional affiliation.
Project Role

Other Project Contact

If this form is being completed by a Research Assistant or other Research Staff, please include your contact information. 

Project Information

If not applicable, please write 'N/A'.
Please provide a brief description of the project.

Request for Services

Please indicate type(s) of core services requested. Check all that apply.
Administrative Core
Developmental Core
Advanced Technology Core
Clinical and Population Sciences Core: Clinical Services
Clinical and Population Sciences Core: Biostatistical Services
Clinical and Population Sciences Core: Epidemiological Services
Social Behavioral Sciences Core
Please indicate any services you may require that are not listed or any additional comments about your project.