Order Forms

Please fill out and submit the appropriate registration form:

and fax the completed form to 215-590-3804, Attention: Lisa MacDowell, before any services are performed. This provides the necessary contact and billing information.

Pathology Core Online Specimen Submission Form

In order to drop off specimens for processing customers must first complete an online (google document) submission form to begin your order. The Submission form can be accessed and filled out ahead of time or you can fill it out in the core lab when you drop off your specimens. For online access use the link on our website here:

We have a PC in the lab set up in the specimen drop off area if you want to wait until you get here to fill out the form. When you physically drop off your specimens we will generate a path core number, or job number for your particular request and we can print out a copy of the form for you to keep for your records if you would like.

The following are field by field guidelines for filling out the online form:

P.I. Name: This is a required field and will dictate the lab that the lab that will be billed for the services. Before submitting specimens P.I.'s should register their lab with the CHOP business office as a pathology core user. Here is a link to the registration form and instructions:

P.I. Account Number: This is a required field and will dictate the PO or grant number that the job is billed to. Most of our PI's have multiple accounts for different projects so we need to know which account you want us to charge for each job. We need to have the account information at the time the specimens are submitted in order for us to enter the job into the que.

Dropped off by: Name of the technician or individual who is delivering the specimens. This is also the primary contact if we have questions or to notify that the job is completed.

E-mail Address: e-mail address of the primary contact. We typically send you an e-mail when the job has been completed and is ready to pick up.

Phone Number: Phone number for the primary contact. We use this if we need to contact you urgently or you haven't responded to e-mail.

Collection Date: Date that the specimen was collected. Not critical for us, but it may help identify specimens if there is a problem with the labeling.

Fixation Type: Typically formalin, but we like to know how and how long specimens were fixed for before we process them.

Fixation Time: Time from above.

Species: Animal or species of the specimen being submitted.

IRB Protocol Number: We require an approved IRB protocol number before we can process any human tissue in the lab.

Organ: Organ, or organs that are being submitted.

Specimen Identification: Unique specimen ID for each cassette or tissue sample. This is how we will label your cassettes, slides, etc.

For human samples please do not use any patient identifiers, ie name, birthdate, surgical numbers, medical record numbers, etc. as this is a web based form!

Number of Samples: Total number of tissues or samples submitted for that particular job.

Service: Choose a service from the drop down menu.

Quantity: Total number of specimens/slides for that particular service.

Comment: Special instructions for that service such as specimen orientation, sectioning instructions, the special stain(s) or antibody(s) names, etc.

Rush Charge: This is a yes or no field. We process jobs in the order that they (the specimens) are submitted. Our typical turnaround time will range anywhere from 1 week to 3-4 weeks depending on our current workload. Submitting a job as a rush job will basically move you to the front of the line so your job will be completed ASAP. This typically takes 2-3 days depending on what you are requesting and how many other "rush" jobs we are working on. The rush charges is 3 times the standard charge. When you drop off your specimens we can give you an idea of our current turnaround time for standard processing and how quickly we could get your job done if rushed.

Repeat for each service requested.

Comments/Instructions A final field for overall instructions, requests, comments, etc for this particular job.

When everything has been filled out click on the submit button and your request will be saved. When you drop off your specimens we will pull up your request and assign a unique path core number (job number) for tracking purposes and your job will be entered into the que.