Clinical Project Initiation

Project Initiation Forms for Clinical

Clinical Project Initiation Form

Please complete this form if you are looking to receive a clinical report from our team. Further data release options can be discussed once the form has been submitted.

Refer to our Services Page for a monetary breakdown of each assay. Please contact us at genomics.inquiries@oicr.on.ca if you have any questions.

Please note you will NOT be able to submit an project initiation request unless you have selected at least one item.

Service Requests

Please select both the assay type and the data release format of your desired project(s).

Assay Type(Required)

Whole Genome and Transcriptome Sequencing (WGTS)

Whole Genome Sequencing (WGS)

Plasma Whole Genome Sequencing (pWGS)

Targeted Sequencing (TAR)

Assay Options

Find more detailed descriptions of each assay and what they entail here.

Whole Genome and Transcriptome Sequencing (WGTS)

WGTS 80X Tumor/30X Normal 80M WTS (Clinical Reporting)

Price: $ 4,692.00 CAD

WGTS 40X Tumor/30X Normal WGS, 80M WTS (Clinical Reporting)

Price: $ 3,506.00 CAD

Whole Genome Sequencing (WGS)

WGS 80X Tumor/30X Normal (Clinical Reporting)

Price: $ 4,266.00 CAD

WGS 40X Tumor/30X Normal (Clinical Reporting)

Price: $ 3,080.00 CAD

Plasma Whole Genome Sequencing (pWGS)

Please note that to run a 30X Plasma WGS, you must have run a clinical WGS or WGTS assay for the patient. Confirmation can be added in the requisition form after the project has been approved.

30X Plasma WGS (Clinical Reporting)

Price: $ 1,541.00 CAD

Target Sequencing – REVOLVE Panel (TAR)

Please note that follow-up panels require confirmation of an initial TAR panel.

REVOLVE Panel (Clinical Reporting)

Tumor or cfDNA + Buffy Coat

Price: $ 1,227.00 CAD

REVOLVE Panel Follow-up (Clinical Reporting)

Price: $ 926.00 CAD

Project Description

Please provide us with some details about your project.

Project Name(Required)

Project Code

Alphanumeric code for system input (3-10 characters, capital letters and numbers)

Project Description(Required)

Contact and Billing Information

Principal Investigator Name(Required)

First Last

Principal Investigator Email(Required)

Principal Investigator Phone Number

Main Contact Name(Required)

First Last

Main Contact Email(Required)

Main Contact Phone Number

Sample Submission Contact

First Last

Sample Submission Contact Email

Sample Submission Contact Phone

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Institutional Funding(Required)

Is this work funded by or in association with OICR?

Yes

Are you completing this form for a project outside of Ontario?(Required)

Yes

REB Approval Number(Required)

REB Approval Documents(Required)

Max. file size: 10 MB.

Hidden

Number

Subtotal

$ 0.00 CAD

Tax

13% HST

$ 0.00 CAD

Total

Please contact us at gsi@oicr.on.ca if you are having any issues with form submission, completing the form, or missing/incorrect information.

Please note you will NOT be able to submit an project initiation request unless you have selected at least one item.

Comments

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