Thank you for your interest the Penn CFAR Clinical Core. In order to utilize the services of the Penn CFAR Clinical Core, please complete this questionnaire in full. Incomplete information may delay your request. You can expect to be contacted by Clinical Core staff within 5 business days of submitting this form.

If you have any questions, please contact the Penn CFAR Clinical Core Director, Dr. Vin Lo Re, at

Thank you!

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