Forms & Applications

Forms and applications can be filled electronically and emailed to robert.wyza@case.edu or printed, filled out, and mailed to:

Robert Wyza
Human Tissue Procurement Facility
11100 Euclid Avenue
Cleveland, Ohio 44106

HTPF Registration Form to Receive Human Tissues for Research (MS Word)

Data Use Agreement Form for Human Tissues (MS Word)

New Investigator Information Sheet for Histology Services (MS Excel)

Histology Log-In Sheet (MS Excel)

Tissue Research Application/Template for Cancer-Related Studies (MS Word)

Flowchart for applying for tissue blocks or slides for testing purposes

Flowchart for applying for cancer specimens banked or prospectively collected

Flowchart for applying for non-cancer specimens

Flowchart for applying for sections or cores of clinical archive blocks