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ALL CHILDREN HOSPITAL Pathology and Laboratory Medicine Outpatient Care Center 4th Floor 601 5th Street South St. Petersburg, Florida 33701 Anatomic Pathology Requisition Patient Name: Date of Surgery:

How to fill out anatomic pathology requisition

How to fill out anatomic pathology requisition:

1. Start by identifying the patient: Write down the patient's full name, date of birth, and any unique identifying information such as a medical record number. This ensures accurate record-keeping and proper identification.
2. Specify the ordering physician: Include the name of the healthcare provider who is requesting the pathology test. This could be a primary care physician, specialist, surgeon, or any other healthcare professional involved in the patient's care.
3. Provide clinical history: Describe the relevant clinical history and symptoms that led to the need for the pathology test. This information helps the pathologist better understand the context and purpose of the test.
4. Indicate the type of specimen being submitted: Specify the type of tissue or sample being sent for analysis. This could include biopsies, surgical specimens, body fluids, or any other material that is being examined.
5. Include the date and time of sample collection: Write down the exact date and time when the specimen was collected. This information is crucial for accurate analysis within the appropriate timeframe.
6. Specify the desired tests: Clearly state the specific tests or procedures that are requested to be performed on the specimen. This could include routine histopathology, cytology, immunohistochemistry, molecular testing, or any other specialized test.
7. Consent: If required, ensure that informed consent for the pathology test has been obtained from the patient. This is essential for legal and ethical reasons.
8. Include any relevant attachments: If there are any supporting documents, medical images, or laboratory reports that should be reviewed alongside the requisition, make sure to attach them.

Who needs anatomic pathology requisition?

Anatomic pathology requisitions are typically required by healthcare providers who suspect or need confirmation of a specific medical condition or disease. This includes primary care physicians, surgeons, oncologists, gastroenterologists, dermatologists, and other specialists involved in patient care. These requisitions are commonly used in hospitals, clinics, laboratories, and other healthcare settings where pathological analysis is performed.

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What is anatomic pathology requisition?

An anatomic pathology requisition is a form used to request specific tests or procedures related to the examination of tissue samples or specimens.

Who is required to file anatomic pathology requisition?

Healthcare providers such as doctors, surgeons, or pathologists are required to file an anatomic pathology requisition.

How to fill out anatomic pathology requisition?

An anatomic pathology requisition can be filled out by providing patient information, specimen details, requested tests, and clinical information.

What is the purpose of anatomic pathology requisition?

The purpose of an anatomic pathology requisition is to ensure the proper handling and processing of tissue samples for accurate diagnosis and treatment.

What information must be reported on anatomic pathology requisition?

Information such as patient demographics, specimen type, clinical history, requested tests, and provider information must be reported on an anatomic pathology requisition.

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