Please Note:

  • This form is to be used for all projects involving patients with breast cancer - or at an increased risk for breast cancer - seen at DF/HCC institutions. The DF/HCC Breast Users Committee will review all projects on a rolling basis to evaluate scientific merit and feasibility and to determine whether sufficient resources exist within the center to support such a project.
  • Please fill out the following form as completely as possible in order to give the committee a full understanding of the proposed project and what DF/HCC resources will be necessary to complete the project. If this project is protocol based, whether research or clinical, please include a copy of the protocol with this form.
  • If the project involves access to patient identifiers, IRB approval is also required (in addition to Users Committee approval) before proceeding with research procedures.
  • Please note that blood and tissue samples in the bank contain only basic clinical annotation. If linked outcome or detailed treatment data are required, please consult with the Users Committee co-chair, Dr. Nancy Lin, to discuss options for linking clinical data with biospecimens.
  • If you have any questions regarding this form or the approval process please contact Kaleigh MacDonald, KaleighA_Macdonald@DFCI.HARVARD.EDU.

IMPORTANT: Any modifications to this request that affect the types of clinical data or specimens requested, or involve a change in project aims MUST be re-submitted to The Users Committee for approval before work begins.

Thank You,

The DF/HCC Breast Users Committee

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