Slide Scanning Request

"*" indicates required fields

Submitter and PI Information

Submitter 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

Slide Information

Stain 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 requests

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