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Getting started with the Neurogenetics and Behavior Center

Mouse Assessment Form

Please fill out the mouse assessment form below, or if you prefer, print out the form (in Adobe Acrobat PDF format) and fax to the Neurogenetics and Behavior Center at (410)516-0494.

Request for Mouse Behavioral Testing:

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Introduction
Principal Investigator Information
Contact Person Information
Area of Investigation
Mice Information - Part 1
Mice Information - Part 2
Mice Information - Part 3
How did you hear about us?
Summary
Thank you!

Thank you for your interest in the Neurogenetics and Behavior Center. This form has 7 sections requesting information that will help us process your request for behavioral testing.

Please fill out the form as completely as possible.

When finished with the form, press the Submit button to electronically submit your request.

Click 'Next' to begin