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UI Diagnostic Laboratories Department of Pathology 200 Hawkins Drive, 5231 RCP Iowa City, Iowa 52242 Toll Free: 8668442522 Local: 3193847212 Fax: 3193847213 ANATOMIC PATHOLOGY CONSULT REQUISITION
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How to fill out anatomic pathology consult requisition

How to fill out an anatomic pathology consult requisition:
01
Start by filling out the patient information section. This includes the patient's name, date of birth, and medical record number. Make sure to double-check the accuracy of these details.
02
Next, provide the referring physician's information. This includes their name, contact information, and specialty. If there is a specific reason for the consultation, it can be mentioned here as well.
03
Indicate the clinical history or reason for the pathology consultation. Be as specific and detailed as possible, providing relevant medical history and any relevant symptoms or findings. This information will help the pathologist provide accurate and tailored analysis.
04
Specify the type of specimen being submitted for examination. This could include tissue samples, fluid samples, or cellular material. Provide a clear description and make sure to label the specimen containers correctly.
05
Fill out the necessary sections for any additional tests required or special instructions. This could include specific stains, molecular studies, or other specialized procedures that are needed for the analysis.
06
Include any relevant documents or imaging studies that may aid in the interpretation of the pathology specimen. This includes radiology reports, previous pathology results, or laboratory test results.
07
Provide the required information for billing purposes. This includes the patient's insurance information or any other payment details if applicable.
Who needs an anatomic pathology consult requisition:
01
Patients who require further evaluation or analysis of a pathology specimen.
02
Physicians or healthcare providers seeking expert consultation or a second opinion on a pathology case.
03
Pathologists who are requesting additional testing or consultation from a subspecialty pathologist with expertise in a specific area.
Remember, proper completion of the anatomic pathology consult requisition is essential for accurate and timely analysis of the specimen, as well as effective communication between healthcare providers and pathologists.
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