STUDY REQUEST CARD STUDY REQUEST CARD Study name: OPT II Study OPT FORM 71 MAR 06 Study name: OPT II Study Participant name:___________________________________  Draw two - 2 ml SST vacutainers Venous Lead CBC  Affix one of the attached labels to each tube Study name: OPT II Study Draw two – 2 ml SST Vacutainers Affix one of the attached labels to each tube STUDY REQUEST CARD OPT FORM 71 MAR 06 Study name: OPT II Study Patient name: _____________________________________  Draw two - 2 ml SST vacutainers  Venous Lead  CBC  Affix one of the attached labels to each tube