PLEASE NOTE: As of January 1, 2022, service agreements are no longer accepted for clinical trial/clinical research service requests. If you are requesting services for a clinical trial or clinical research study, please complete the VCUHS New Research Study Intake Form (https://redcap.vcu.edu/surveys/?s=EYM43N3RHDDXKEEY) in lieu of the service agreement request.

**This form is still utilized for CARI, TDAAC, and Pathology (non-clinical trials/research studies) service agreement request(s).**