Pathology

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 Application and Agreement Form for Human Tissues (MS Word)

HTPF Data Use Agreement Form for Human Tissues (MS Word)

New Investigator Information Sheet for Histology Services (MS Excel)

Histology Log-In Sheet (MS Excel)