Microct Service Request Form For External Users printable pdf download

Microct Service Request Form For External Users

INSTRUCTIONS FOR EXTERNAL µCT USERS

1. Fill out form completely and accurately. Incorrect information will hinder

the approval process and the start of sample processing.

2. Be sure to include the principle investigator’s (PI’s) name on the

“Investigator Name” and the correct grant number for the same PI.

3. Researchers who are postdocs, students, or staff must include their name as

the contact and their PI’s signature by his/her name. Researchers who are co-

PIs must include the primary PI’s name under the grant.

4. Include the correct Purchase Order Number (PO) or credit card number. If

you would like to use another payment method, please call 508-334-7928.

5. If you require specialized non-decalcified histology and/or biomechanical

testing after the µCT analysis, please indicate the supplementary services

under “Special Instructions”.

6. All samples must be fixated, stored and labeled properly prior to shipping.

See our website,

for the preferred method(s).

If your samples require other method(s), please phone ahead at 508-856-

4947 for a consult before submitting this form.

7. Fill out a Sample Inventory form and attach to the completed Request Form.

E-mail the completed forms to

MCI@umassmed.edu

, Musculoskeletal

Center Imaging Core, ATTN: Stacey Russell.

8. You will receive an email of the request approval. When you receive

approval, pack and ship the sample(s) according the appropriate method

detailed on our website, .

Microct Service Request Form For External Users