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SDDRC Share Pathology Request Form
Please complete this form to obtain pathology slides. After submission, please send a notification email to:
sddrc@health.ucsd.edu
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* Indicates required question
Email
*
Your email
Center Member's 1st and last name?
Your answer
What disease type are you interested in?
Your answer
The number of patients needed for each disease type?
Your answer
Anatomical disease site
Your answer
Desired number of unstained slides?
Your answer
If available, are you requesting H&E stained or special stained slides?
Yes
No
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Will you be providing the pathology accession number/s from Epic? If not, do you need us to search?
Your answer
Please provide a brief description of your intended analysis.
Your answer
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