Research Sample Submission

Name
First Last
Email
Phone
Client ID Number*
This ID number was emailed to you if you need a reminder please email us at nationwidehistology@gmail.com
Enter PO number
Would you like these rushed?
- Yes
- No
For $50 or 25% whichever is greater we will rush your samples within one week.
Research Number*
**You will need a new one for each submission
Desired Return Shipping*
If you are using Fedex be sure we have your fedex account information otherwise your samples may be delayed

What sample type are you sending?*
- Tissue cassettes
- whole tissue in jars
- Tissue blocks-ready to cut
- Slides Only
How many samples are you sending?*
Please list tissue type & Species
Choose your processing cycle
Overnight cycle is best for whole organs while small tissues need shorter cycles. If you dont know which is best select custom
Does your sample require Decalcification?
- Yes
- no
This is for bone samples to be softened.

Do you need slide scanning?
- Yes
- No
Is this for an ongoing pathology project that we are scoring?
- Yes
- No
Would you like a quote on having these read by a pathologist?
- Yes
- No
Scope of Project
Please describe what type of reporting you would like for these samples. Would you like qualatative analysis, semi-quantitative, etc? The more detail on what you would like and about the scope of your project the more accurate quote you will receive.
Special Instructions
If there is anything you would like us to know or do for this submission please detail it here.
Upload files
You can upload images for embedding, batch sheets or papers you are referencing here. If you think it will be helpful feel free to upload it.
Max. file size: 256 MB.

Hematoxylin and Eosin Staining