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CERVICAL/VAGINAL CYTOLOGY REQUISITION University of Colorado Auschwitz Medical Campus Department of Pathology (Division of Cytology) Phone: 7208484361 Fax: 7208480924 Mail Stop F779, AIP Building,

How to fill out cervicalvaginal cytology requisition

How to fill out a cervicalvaginal cytology requisition:

1. Start by obtaining the requisition form from a healthcare provider or laboratory. These forms are typically provided by gynecologists, family doctors, or women's health clinics.
2. Ensure that the form is properly identified with your personal details, including your full name, date of birth, address, and contact information. This is important to ensure accurate test results and proper communication.
3. Provide your healthcare provider's information, including their name, clinic or hospital name, and contact details. This will enable the laboratory to send the results to the correct healthcare professional for further evaluation.
4. Indicate the reason for the cytology test, such as routine screening, follow-up exam, or any specific concerns or symptoms you may have. This information helps the laboratory and healthcare provider understand the context and purpose of the test.
5. Specify any relevant medical history or conditions that may impact the interpretation of the results, such as previous abnormal test results, previous cervical procedures, or current medications. Providing this information ensures a comprehensive evaluation of your cervical health.
6. Choose the appropriate type of test you require. Common choices include a conventional Pap test, liquid-based cytology (LBC), or human papillomavirus (HPV) testing. Your healthcare provider can guide you in selecting the appropriate test based on your age, risk factors, and medical history.
7. Choose the desired interpretation and reporting schedule. This may include requesting an urgent or expedited report if necessary, or specific instructions for reporting the results to both you and your healthcare provider.
8. Review and confirm that all the information provided on the requisition form is accurate and complete. Any errors or missing information may result in delays or inaccuracies in the test results, so be sure to double-check before submitting the form.

Who needs a cervicalvaginal cytology requisition?

1. Women who are due for routine cervical cancer screening are typically required to have a cervicalvaginal cytology requisition. This includes women between the ages of 21 and 65, depending on their country's guidelines for cervical cancer screening.
2. Women who have abnormal Pap test results in the past may require a cervicalvaginal cytology requisition as part of a follow-up examination. This helps to monitor any changes in the cervical cells and assess the risk for cervical cancer.
3. Women who have symptoms or risk factors associated with cervical cancer, such as pelvic pain, abnormal vaginal bleeding, or a history of HPV infection, may also require a cervicalvaginal cytology requisition. This helps to evaluate the cervical cells for any potential abnormalities or early signs of cancer.

In summary, filling out a cervicalvaginal cytology requisition involves providing accurate personal and medical information, choosing the appropriate test and interpretation options, and reviewing the form for accuracy. This requisition is typically needed for routine screening, follow-up exams, or in cases where there are symptoms or risk factors associated with cervical cancer. It is important to consult with a healthcare provider to determine if and when a cervicalvaginal cytology requisition is necessary.

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What is cervicalvaginal cytology requisition?

Cervicalvaginal cytology requisition is a form used to request a cervical screening test, also known as a Pap smear.

Who is required to file cervicalvaginal cytology requisition?

Healthcare providers such as doctors, nurse practitioners, and gynecologists are required to file cervicalvaginal cytology requisitions for their patients.

How to fill out cervicalvaginal cytology requisition?

To fill out a cervicalvaginal cytology requisition, healthcare providers must provide patient information, reason for the test, and any relevant medical history.

What is the purpose of cervicalvaginal cytology requisition?

The purpose of cervicalvaginal cytology requisition is to screen for cervical cancer and detect any abnormalities in the cervix.

What information must be reported on cervicalvaginal cytology requisition?

The information reported on a cervicalvaginal cytology requisition includes patient demographics, medical history, reason for the test, and healthcare provider information.

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