Slide Scanning Request Slide Scanning Request Submitter and PI InformationSubmitter Name* First Last Email* Email to which DropBox link will be sent for downloading WSI. WSI files will be removed from MPC DropBox after one month unless alternative storage arrangement made.Principal Investigator (PI) Name* PI is the faculty person responsible for the study and payments. Also complete the MPC Account Registration form for first-time users. Is the PI a faculty member, resident, fellow, or staff scientist in Pathology (Medicine) or Oral Pathology (Dentistry)?* Yes No Slide InformationStain type:* Brightfield (H&E, IHS, PAS, special stain) Fluorescence List all fluorophores when fluorescence stain. Total # slides to be scanned*Please enter a number from 1 to 1000.Magnification for scanning: 20x 40x Slide IDs (optional). Submitter must obscure any PHI using opaque tape. List slide labels below by row or attach excel file with listing. Add more rows with "+". Attach file with slide listing (optional):Max. file size: 125 MB.Image file transfer method* From MPC DropBox to submitter via email shared link. Other (request and describe in comments) WSI image files will be removed from MPC DropBox after one month unless alternative server storage arrangement is made.Comments/Other requestsCAPTCHA
