1. 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