Research Sample Submission

Step 1 of 7 - Customer Information

14%

Name

First Last

Client ID Number*

Phone

Research Number*

**You will need a new one for each submission

Enter PO number

Please request a quote if you bill with PO and update the PO in your client portal on receipt

Rush Case?

RUSH THIS CASE!

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

Does your sample require Decalcification?

Yes

This is for bone samples to be softened.

Hematoxylin and Eosin Staining

Detail any desired steps or special thickness in the special instructions.

I would like H&E sections*

Yes

How many slides per block?

Unstained slides

I would like unstained sections*

Yes

How many slides per block?

Special Stains

I would like additional stains

Yes

Please 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 request

Dont see the stain you want?

List the stain you are interested in and we will get in touch with you on it.

Do you need slide scanning?

Yes

This is charged at $5 per slide

Are you including a usb storage device?

Yes

Would you like us to hold your blocks for future slide cutting?

Yes

Are you including a slide box for return slides?

Yes

Would you like pathology scoring or a quote for pathology?

Yes

Is this for an ongoing pathology project that we are scoring?

Yes

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.

New-Research-Form

Hematoxylin and Eosin Staining

Unstained slides

Special Stains

Thank you!

Leaders in Histopathology!

Why Choose Us

We're Affordable

We're Experienced

We're FAST!

We strive for excellence

Let Our Team Become an Extension of Your Team!

Dont forget your client ID number!