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Get the free UWHC SURGICAL PATHOLOGY ARCHIVED TISSUE REQUEST FORM GUIDE

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Wisc.edu UW or outside IRB Approval/Exemption letter In the case of an outside IRB please provide a copy of the UW deferral CIRB or corresponding UW IRB number WIRB Copy of the IRB application Copy of the protocol Copy of lab manual if available Copy of blank informed consent form if applicable Copy of blank HIPPA form if applicable Once the documents have been submitted a tissue request should be submitted via fax using the UWHC Surgical Pathology Archived Tissue Request Form 1555. Kristina...
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How to fill out uwhc surgical pathology archived

01
Retrieve a copy of the UWHC Surgical Pathology Archived form.
02
Read the instructions carefully to understand the requirements.
03
Fill in your personal information including name, date of birth, and contact details.
04
Provide relevant medical information such as previous surgeries, medical history, and current medications.
05
Indicate the specific surgical pathology you need to be archived.
06
If available, attach any supporting documents or medical reports related to the pathology.
07
Double-check all the information provided for accuracy.
08
Submit the filled-out form to the designated department or institution.
09
Follow any further instructions given by the healthcare provider.

Who needs uwhc surgical pathology archived?

01
Patients who have undergone surgical procedures and require their pathology results to be archived for future reference.
02
Healthcare providers who need to maintain a record of surgical pathology for their patients.
03
Researchers and scientists studying specific surgical pathologies.
04
Medical institutions or departments responsible for archiving surgical pathology cases.
05
Legal entities involved in medical investigations or litigation requiring access to archived surgical pathology.
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