CHDI Foundation Reagents Registration Request
Welcome to the CHDI Foundation Reagents Registration Portal. Please complete the questionnaire below. Once you have completed the questionnaire, click on the button to submit the questionnaire to CHDI Foundation, and an email will be sent to you confirming receipt of your submission.

Note that you can submit up to 30 reagents at one time using this form. Please do not submit individual submissions unless you have been directed to do so by your Foundation Science Director or Program Manager; additional buttons will display once you have entered data for at least one reagent to facilitate the rapid entry of additional reagents. If you are unable to complete the questionnaire in this session, you may save your work by clicking on the button, and an email will be sent to you with instructions as to how to retrieve your partially completed questionnaire.

Please be advised that the submission of a completed questionnaire is obligatory and it will take a minimum of 10 business days to process. If you have any questions and/or concerns please contact the Foundation Scientific Director associated with your collaboration or alternatively you may contact Mithra Mahmoudi (

Submitter Information
Your Name
Your Email
Your Institution
CHDI Contact
Please note that we request that all vials are labeled with the following information: Foundation ID, Material Name, Volume/Concentration in Vial, Date, Prepared by Name/Institution

Reagents Information (click on for help entering data in the appropriate field)
  Reagent #1
Material Type