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Submit an item to the NOVEL Collection NANOS members:  Use this form to submit digital slides, video or other case materials for possible inclusion in the NOVEL collection. Any material submitted is stored in a staging area pending peer review. Each submission is reviewed by NANOS members. Material approved by the reviewers will be added to the NOVEL collection. If material is not approved, the material will be deleted. The contributor will be notified of the decision regarding the submission. Upload speeds: Please be aware that upload for large files (10 megabytes or more) takes many hours over dialup modems.  File uploads that do not finish within 8 hours will not be allowed to complete as a matter of policy. For further information or assistance, please contact Nancy Lombardo.   * = Required fields Personal/Contact Information First Name * Middle Name / Initial Last Name * Email address * Phone number * digits, space/hyphen, literal characters Phone extension (if required for call) Organization / Institution Other Item Attributions Item Creator Creator First Name * Creator Middle Name / Initial Creator Last Name * Creator E-Mail * Organization / Institution Other Contributor/s   First / Middle / Last Name  Organization or Institution  E-Mail (if supplied, first and last name, institution name or "N/A", and email or "N/A" are required) Information about the item Title Subject or keywords (see the Curriculum outline) Description Item's creation date yyyy-mm-dd (estimated, if unsure) Date the item was digitized yyyy-mm-dd (estimated, if unsure) Anatomy Pathology Disease/Diagnosis Clinical information Contribution URLs URL 1 URL 2 URL 3 URL 4 URL 5 URL 6 URL 7 URL 8 URL 9 URL 10 Copyright * Owner would like to retain copyright Owner would like to transfer copyright to NANOS Item Ownership Certification By submitting this contribution, I am stating that I own the copyright to this material and have obtained any patient permissions needed to allow this material to be legally displayed to the public through the NOVEL Web site, if the material is approved and accepted into the collection. Other comments (include additional Other Contributor info here if needed)   Enter Information >> Upload >> Confirm / Edit Your information has not yet been submitted — please click the File Upload button to contribute files before sending

Send questions or comments to the NOVEL Development Team:  NOVELlib.med.utah.edu

	Funded by the National Library of Medicine Grant #G08 LM007919