Slide Scanning Request Slide Scanning Request Your Name* First Last Email Do you need a Spectrum user account set-up?* Yes No Your user name will be your email handle. Temporary password will be issued to be changed at first log-in. Principal Investigator (PI) NamePI is the faculty person responsible for study and any payments. Is the PI a faculty member, resident, or fellow in Pathology (Medicine) or Oral Pathology (Dentistry)?* No Yes Case or Project Assignment (where your slides are organized)Add to Case : Pathology ConferencesAdd to existing Project (research studies)Make new Case or Project by PI last nameTotal # slides to be scanned*Please enter a number from 1 to 1000.Do not submit slide labels with Private Health Information.Stains (Optional):Slide IDs (optional). Fill in by row or attach an excel file with listing. Do not submit slides with patient private health information (PHI). Add more rows with "+". Or, attach file with slide listing:Image file transfer method for non-pathology usersUSB drive from submitterExternal hard drive from submitterDVD purchased from MPCUF FTPHow image files are transferred off image server to the submitter. Temporary storage is available for one month for non-pathology submitters due to server limitations.Comments/Other requestsCAPTCHA
