{% extends "layout.html" %} {% from "bootstrap_wtf.html" import horizontal_field as ff %} {% from "bootstrap_wtf.html" import form_errors as form_errors %} {% from "_profile.html" import profile_fields_extended with context %} {% block morehead %} {% assets filters="cssmin", output="gen/edit_order_v2-packed.css", "css/routine-histology.css", "css/stain_widgets.css", "css/ihc.css", "css/special.css", "css/tooltip.css", "css/edit_order.css" %} {% endassets %} {% assets filters="jsmin", output="gen/edit_order_v2-packed.js", "sample_validators.js", "edit_order_v2.js" %} {% endassets %} {% endblock %} {% block content %}
{% if form.errors or sample_errors %}
{% for field in form.errors %} {% for error in form.errors[field] %}
Error! {{error}} ({{ form[field].label }})
{% endfor %} {% endfor %} {% for item in sample_errors %}
Error! {{item.error}} ({{ item.field }})
{% endfor %}
{% endif %}

Project Information

Please fill out all fields as best as you can! It will help us process your order more efficiently and tag your slides correctly for searching.

Project Information

{% if is_admin() %}
{{ ff(form.owner_id) }}
{% else %} {% endif %} {% if edit_mode %} {{ form.order_id }} {{ form.pathology_request_id }} {{ form.histology_service_request_id }} {% endif %} {{ ff(form.project_id) }} {{ ff(form.experiment_name) }} {{ ff(form.po_number) }} {{ ff(form.scientist_1_email) }} {{ ff(form.scientist_2_email) }}

Contact Information

{{ profile_fields_extended(form) }}

Services*

Check all that apply

{{ ff(form.process_and_embed_only) }} {{ ff(form.routine_histology) }} {{ ff(form.ihc) }} {{ ff(form.whole_slide_imaging) }} {{ ff(form.auto_image_analysis) }} {{ form.long_term_data_mgmt }}
{{ ff(form.pathologist_id) }}

Turnaround Time*

{{ ff(form.turnaround_time) }}

Shipping Information

{{ ff(form.generate_shipping_label) }} {{ ff(form.shipping_no) }} {{ ff(form.shipping_weight) }} {{ ff(form.shipping_dropoff_type) }} {{ ff(form.shipping_service_type) }}

Submission Information

{{ ff(form.sample_collection_date) }} {{ ff(form.fixation_time) }} {{ ff(form.fixative_id_list) }} {{ ff(form.fixative_custom) }} {{ ff(form.additional_info) }}
{{ ff(form.received_in_id_list) }} {{ ff(form.received_in_custom) }} {{ ff(form.decalcification) }} {{ ff(form.sample_return_requested) }}

Science Information

Please fill out all fields as best as you can! It will help us process your order more efficiently and tag your slides correctly for searching.

{{ ff(form.species_id_list) }} {{ ff(form.species_custom) }}
{{ ff(form.bio_system_id_list) }} {{ ff(form.bio_system_custom) }}
{{ ff(form.mouse_strain_id_list) }} {{ ff(form.mouse_strain_custom) }}
{{ ff(form.experiment_type_id_list) }} {{ ff(form.experiment_type_custom) }} {{ ff(form.gender) }} {{ ff(form.age) }}
{{ ff(form.xenograft_type_id_list) }} {{ ff(form.xenograft_type_custom) }} {{ ff(form.promoters) }} {{ ff(form.reporters) }} {{ ff(form.gemm) }} {{ ff(form.published) }}
{{ ff(form.mpath_icd10_codes) }}

Histology

Remember: You cannot submit more than one sample with the same ID. Please ensure you enter the special instructions each time you submit an order instead of asking us to do what was done before; we are not responsible for damages caused by missing instructions

If you want to provide more detailed instructions, you can upload a PDF. {{ ff(form.pdf_upload) }}

Instead of completing the Sample Table below, you can Upload a Microsoft Excel® Spreadsheet.

First then

{{ ff(form.thickness) }}
{{ ff(form.no_sections_per_slide) }}
{{ ff(form.section_steps) }}
{% include 'routine_histology_table.html' %}
{{ ff(form.special_instructions) }}
{{ form.hidden_tag() }}
{% with sample=row_template %} {% include 'routine_histology_row.html' %} {% endwith %}
{% endblock %} {% block tail %} {{ super() }} {% endblock %}