Research requests

As part of our commitment to Medical Leadership, Southern.IML Pathology is proud to support and contribute to medical research in an ethical, confidential, and professional manner.

If you are conducting a research project or clinical trial, and would like to enquire about access to information, specimens, or pathology services, please submit your details below and we will contact you shortly.

Company details

Organisation *

Contact details

Name *

Position *

Email address *

Phone number *

Request details

Activity type: *

Clinical trial
Research project / study

Project title and summary *

Research proposal or protocol synopsis * Maximum file size 3MB. .doc,.docx, .pdf and .rtf formats only

Ethics approval documentation * Maximum file size 3MB. .doc,.docx, .pdf and .rtf formats only

Request for: *

Data or information
Archival tissue or specimens
Quote for pathology service(s)
Other

The research coordinator will contact you for additional information, as required, for the approval and completion of your request.

Further comments?

reCAPTCHA *

IMPORTANT: As of 13/05/2023, you must have a request form from your doctor for COVID-19 testing. If you do not have a request form, there will be an out-of-pocket expense.

Wollongong (Walk-in, separate entrance to main collection centre)

Wollongong

Warilla

Nowra

Please note: wearing a mask is required.

Research requests