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Mile Square Health Center (MSHC)
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Helpful Numbers
Request Pathology Materials
To request pathology materials (blocks, slides, or hardware), complete the Authorization to Release Health Information form. Under “Information Requested,” select “Other” and list the specific case number(s) and/or dates.
Submit the signed form to aplabsendouts@uic.edu or fax to 312.413.1346. Ensure all information is clear to avoid delays. Please allow at least 5 business days for processing.
- Authorization for Release of Health Information Form (English, pdf)
- Authorization for Release of Health Information Form (Spanish, pdf)
To check the status of a request, email aplabsendouts@uic.edu.
Additional authorizations may be required for certain materials (e.g., fixative or biohazardous items). Fees may apply for slide preparation or shipment, and payment is required before release.
Clinical Trials Requests
For outside institutions requesting pathology materials for a patient on a clinical trial, please submit all required information using the form below: https://redcap.link/PathologyResearchTissueRequest