External request for histopathology services

Please fill the form below; you will be contacted by the email address with confirmation of your request and next steps.

Other arrangements may be available by negotiation with Histology staff.

You will be able to review your request prior to submission.

Required fields are marked with an asterisk (*).

Project and contact details
Histopathology service details
Include information regarding collection intervals.
Please specify agent.
For example, number of slides, sections per slide, section thickness, serial.
Staining required
Immunohistochemstry requirements
Tissue samples, blocks, slides, et cetera.
Please specify.
Project and costs
Has a costing agreement been completed? * If not, an agreement will be sent to you.