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Account/Speed Type Payment Contact (email) Principal Investigator/contact Person

account/speed type #___________________ payment contact (email): principal investigator/contact person (email)­­­­­­ type of specimen:

Account/Speed type #___________________
Payment contact (email):
Principal Investigator/contact person (email)­­­­­­
Type of specimen: Number of specimens:
ORTHOPAEDIC RESEARCH HISTOLOGY FACILITY REQUEST
Please Note: All specimens must be in 70% Ethyl Alcohol when brought
to the Histology Lab. Please label cassettes/containers clearly and as
simple as possible. If you must have extensive information for each
specimen, generate a master sheet with a simple coding system. The
Principal Investigator’s initials or the project name abbreviations
with consecutive numbers work well. In addition, it is very important
to use solvent-resistant markers for labeling cassettes or containers.
Otherwise, ALL information is lost during processing. Small specimens
(i.e. pellets) require special handling; please see Teresa Pizzuto
regarding this. All supplies and suggestions for handling specimens
can be obtained from the Histology lab. List your samples on the
reverse side of this request.
PROCESSING AVAILABLE
PARAFFIN EMBEDDING
Decal Yes/No
Silane coated slides Yes/No
Number of slides per specimen ________
Number of sections on each slide ________
Number of slides stained ________
What stain would you like? ________
PLASTIC EMBEDDING
Thick sectioning ________
Thin sectioning ________
· number of slides per specimen ________
· number of sections on each slide ________
· number of slides stained ________
EXPECTED TIMEFRAME FOR WORK COMPLETION
Paraffin-processed specimens: allow two weeks.
Specimens processed for plastic embedding require at least six to
eight weeks.
These times are estimates and dependent on the current amount of work.
Depending on workflow, we may be able to accommodate rush orders for
an additional 50% fee.
Department policy is that payment is received before histology is
released.
DATE RECEIVED:
DATE COMPLETED:
ORHC# 05/08/2015

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