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Cardiac Myocyte Morphology Request Form

* indicates required fields

Requestor Name / P.I.*
Campus address*
Phone
Email*
 
Species/Strain*
Days in culture before fixation*
IACUC protocol #*
Total # of analyses needed*
Median cell volume*
Average cell length*
Average cell width*

 

Please list all specimens and give specific instructions:

Sample ID Volume (y/n) Length (y/n) Width (y/n) Other

 

Other comments pertaining to the requested analysis:

     

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