Get the free Cancer Cytogenetic Requisition - Parkview Health Laboratory

BCM-MEDICAL GENETICS LABORATORIES CANCER GENETICS LABORATORY SHIP TO: Cancer Genetics Laboratory Baylor College of Medicine 2450 Holcombe, Grand Blvd. Receiving Dock Houston, TX 77021-2024 Phone:

How to fill out cancer cytogenetic requisition

How to fill out cancer cytogenetic requisition:

1. Fill in the patient's personal information, including their name, date of birth, and medical record number.
2. Provide the date the requisition is being filled out and the name of the referring physician.
3. Specify the reason for the test, such as suspected cancer diagnosis or monitoring treatment response.
4. Indicate the type of specimen being submitted, whether it is blood, bone marrow, or tissue sample.
5. Include the relevant clinical information, such as the patient's symptoms, previous treatments, and any family history of cancer.
6. Complete the billing section with the appropriate insurance information or payment details.
7. Sign and date the requisition form before submitting it to the laboratory.

Who needs cancer cytogenetic requisition:

1. Oncologists or hematologists may require a cancer cytogenetic requisition to assess chromosomal abnormalities in patients suspected of having cancer.
2. Genetic counselors may also use this requisition form to order genetic testing for patients with a family history of cancer or known genetic conditions associated with cancer.
3. Researchers studying cancer genetics may need a cancer cytogenetic requisition to investigate specific genes or chromosomal abnormalities related to various types of cancer.

For pdfFiller’s FAQs

What is cancer cytogenetic requisition?

Cancer cytogenetic requisition is a form or document used to request genetic testing and analysis of cancer cells.

Who is required to file cancer cytogenetic requisition?

Cancer cytogenetic requisition is typically filed by medical professionals, such as oncologists or pathologists, who are involved in diagnosing and treating cancer patients.

How to fill out cancer cytogenetic requisition?

To fill out a cancer cytogenetic requisition, one needs to provide necessary patient information, such as name, age, medical history, relevant clinical details, and specify the type of genetic testing required for the cancer cells.

What is the purpose of cancer cytogenetic requisition?

The purpose of cancer cytogenetic requisition is to facilitate the analysis of cancer cells at a genetic level, which helps in understanding the genetic abnormalities or mutations associated with the cancer and guides the treatment decisions accordingly.

What information must be reported on cancer cytogenetic requisition?

The cancer cytogenetic requisition must include patient information (name, age, medical history), relevant clinical details, type of genetic testing required, and any specific instructions or preferences for the analysis.

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