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Histology and Imaging Core (HIC)
University of Washington
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Histopathology Work Order
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Histopathology Work Order
Histopathology Work Order
HISTOPATHOLOGY WORK ORDER
For DRC investigators
who are submitting a project to the Cellular and Molecular Imaging Core (CMIC) for the first time, please contact
Rebecca Hull
or
Charles Frevert
to discuss your research goals and to get the appropriate budget number to use when submitting your form. If you have any questions regarding procedures for submission of your sample or the services provided, please contact
Brian Johnson
.
For CFTRC investigators
who are submitting a project to the Host Response Core for the first time, please contact
Charles Frevert
to discuss your research goals and to get the appropriate budget number to use when submitting your form. If you have any questions regarding procedures for submission of your sample or the services provided, please contact
Brian Johnson
. In order to maintain a reasonable turnaround time on histology preparations, we may utilize a local contract histology laboratory with whom we have a longstanding partnership.
*Please note that cutting and placing more than one section onto the same slide will incur an additional cost.
Fee Schedule is available
here
. Cost estimates available upon request.
1. Billing/Contact Information
Primary Investigator (PI)
*
Submitted By
Email
*
Submission Date
Phone
Experiment ID
Client Type
*
UW
Non-UW
PO #
*
UW Budget
*
UW PI Approval
*
By checking this box the PI identified herein attests that he/she has approved and agrees to pay in full for the services requested on this work order and any other services requested by email through the Histology and Imaging Core.
PI Approval
PI Email
*
2. Sample Information
Species
Tissue/Organ
Fixed In
Received In
Orientation
Section Thickness: 4µm (standard)
Special Instructions
Please upload detailed diagram or sample ID manifest, if needed. Max file size is 7mb.
Accepted file types: pdf, jpg, gif, png, doc, xls, xlsx.
Please upload detailed diagram or sample ID manifest, if needed. Max file size is 7mb.
Accepted file types: pdf, jpg, gif, png, doc, xls, xlsx.
Please upload detailed diagram or sample ID manifest, if needed. Max file size is 7mb.
Accepted file types: pdf, jpg, gif, png, doc, xls, xlsx.
List
Specimen ID#
Tissues Processing
Sections per Slide
H&E
Unstained
IHC
Special Stains
Scanning
Visiopharm Analysis
Select
Paraffin
OCT
Select
Yes
No
Select
Yes
No
Select
Yes
No
Label all containers with Specimen ID and transport fixative. Please consult with HIC staff regarding special stains and immunohistochemistry (IHC)
Name
This field is for validation purposes and should be left unchanged.
