School of Medical Sciences

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School of Medical Sciences
Medical School North Building
Frome Road
The University of Adelaide

SA 5005
Email

Telephone: +61 8 8303 3756
Facsimile: +61 8 8303 4531

Job Quotation form Histology Laboratory

Adelaide University Staff Adelaide University Student External
Name:
Disc/Dept:
E-mail:
Contact number:
Due Date for Job Request:
Cassetting
Do you require Cassetting ? Yes No Small Super Super Mega What solutions are your tissues in now ? Formalin Buffer 70% Alcohol Other, Please Specify
Processing
Do you require Processing:			Yes No			If Yes, please describe tissue and approximate size Number of specimens to process
Do you require Embedding:			Yes No
Should the tissue be orientated in a particular way, other than cut face down ?			Yes No		If Yes, please describe
Do your specimens require decalcification ? Do they have bone or hard tissue within specimen ? If YES please describe
Cutting
Select	rotary microtome cryostat sledge microtome						Number of blocks
Coated Slides	Silane (immuno) Gelatin Albumin (routine) Superfrost charged slides							Serial Sections	Yes No
Thickness 5µm 7µm 10µm / Other Specify
Number of slides required
How many sections per slide
Staining
Do you want slides stained ?		Yes No		With Routine H&E ?				Yes No
How many stained ?		slides per block or ALL slides stained with H&E
Do you want a special stain ?		Yes No		If so, please specify
How many stained ?		slides per block or ALL slides with special stain
Any other information ?