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Mass Memorial Medical Center CLIENT NAME: Hospital Laboratories 365 Plantation Street Worcester, MA. 01605 5083342863 ADDRESS: TELEPHONE: FAX: CONTACT NAME: PATIENT LAST NAME Anatomic Pathology Requisition
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How to fill out anatomic pathology requisition

How to fill out an anatomic pathology requisition:
01
Begin by filling out your personal information, including your name, date of birth, and contact details.
02
Provide information about the referring physician or healthcare provider, such as their name, address, and contact information.
03
Indicate the patient's information, including their full name, date of birth, gender, and any relevant medical history.
04
Specify the type of specimen being submitted for analysis, whether it is a biopsy, surgical specimen, or other tissue samples.
05
Include the anatomical location and relevant clinical history of the patient, which can help pathologists interpret the results accurately.
06
If applicable, provide detailed instructions for the pathologist, such as special staining requests or specific diagnostic tests to be performed.
07
Attach any necessary documents, such as previous pathology reports or diagnostic imaging results, to aid the pathologist in the evaluation.
08
Finally, review the completed requisition form for accuracy and make sure all required fields are filled out before submitting it to the pathology laboratory.
Who needs an anatomic pathology requisition?
01
Physicians: Anatomic pathology requisitions are commonly used by physicians to request pathological examinations of patient specimens. This helps them diagnose diseases, determine proper treatments, or monitor the effectiveness of ongoing therapies.
02
Surgeons: Surgeons often require anatomic pathology requisitions to submit tissue samples obtained during surgeries for analysis. Pathological evaluations of these specimens provide crucial information for surgical planning and post-operative care.
03
Radiologists: In certain cases, radiologists may need anatomic pathology requisitions to request pathological examinations of biopsy samples taken from suspicious lesions or abnormalities identified during diagnostic imaging. This helps in confirming diagnoses and guiding further patient management.
04
Other Healthcare Providers: Various healthcare professionals, such as nurse practitioners and physician assistants, may also use anatomic pathology requisitions to request pathological evaluations depending on their scope of practice and patient care responsibilities.
05
Research Institutions: Research institutions and laboratories conducting studies or clinical trials may require anatomic pathology requisitions to enable the analysis of tissues for research purposes, aiming to deepen understanding of diseases or develop innovative treatments.
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What is anatomic pathology requisition?
An anatomic pathology requisition is a form used to request pathological examination of tissue specimens.
Who is required to file anatomic pathology requisition?
Healthcare providers such as doctors, surgeons, and pathologists are required to file anatomic pathology requisitions.
How to fill out anatomic pathology requisition?
Anatomic pathology requisitions should be filled out by providing patient information, clinical history, specimen information, and reason for the examination.
What is the purpose of anatomic pathology requisition?
The purpose of anatomic pathology requisition is to request pathology examination of tissue samples for diagnostic or research purposes.
What information must be reported on anatomic pathology requisition?
Patient demographics, clinical history, specimen source, date and time of collection, and relevant clinical information must be reported on anatomic pathology requisition.
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