Research Sample SubmissionNew-Research-Form 1Customer Information2Processing Requests3Staining Requests4Final InformationName First Last Email PhoneInvestigator Last Name*Enter PO numberWould you like these rushed? Yes NoFor $50 or 25% whichever is greater we will rush your samples within one week.Research Number***You will need a new one for each submissionDesired Return Shipping*Fedex OvernightFedex First OvernightFedex 2 dayIf you are using Fedex be sure we have your fedex account information otherwise your samples may be delayedWhat sample type are you sending?* Tissue cassettes whole tissue in jars Tissue blocks-ready to cut Slides OnlyHow many samples are you sending?*Please list tissue type & SpeciesChoose your processing cycleOvernight cycleShort CycleCustomFor Frozen Section onlyNo processing required(Slides or blocks)Overnight cycle is best for whole organs while small tissues need shorter cycles. If you dont know which is best select customDoes your sample require Decalcification? Yes noThis is for bone samples to be softened.Hematoxylin and Eosin StainingI would like H&E sections* Yes NoHow many slides per block?Would you like steps between slides? Yes NoSections per slidePlease enter how many sections per slide you would likeUnstained slidesI would like unstained sections* Yes NoHow many slides per block?Would you like steps between slides? Yes NoStep distancePlease enter how far apart in microns you would like the stepsSections per slidePlease enter how many sections per slide you would likeSpecial StainsI would like additional stains Yes NoPlease select your desired stains Trichrome Brown and Brenn Oil Red O Safranin O Picro Sirius Red Periodic Acid Schiffs Giemsa Acid Fast Cementum Annuli custom requestDont see the stain you want?List the stain you are interested in and we will get in touch with you on it.Would you like a quote on having these read by a pathologist? Yes NoScope of ProjectPlease 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 InstructionsIf there is anything you would like us to know or do for this submission please detail it here.Upload filesYou 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.Δ
