Get the free Histology Request Form 81 Research Dr Scarborough Me - mmcri
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Histology Request Form External 81 Research Dr. Scarborough Me 04074 SAMPLE ID # (NOTE: Only ID# will be on all the blocks and Slides) Billing Information: Contact Information: Date Ordered: / / (mm/dd/YYY)
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How to fill out histology request form 81
How to fill out histology request form 81:
01
Start by providing your personal information, such as your name, contact information, and any relevant identification numbers requested on the form.
02
Fill in the details of the patient for whom the histology request is being made. This includes their name, age, gender, and any other relevant medical information.
03
Specify the type of specimen being submitted for histology analysis. This could be tissue from a biopsy, surgical sample, or any other type of specimen as indicated.
04
Include the reason for the histology request. Provide a brief description of the clinical indication or concern that requires histological examination.
05
Indicate any specific tests or procedures that are requested to be performed on the specimen. This may include staining techniques, special studies, or additional tests beyond routine histological analysis.
06
If there are any specific instructions or preferences for the examination, make sure to clearly communicate them on the form.
07
Finally, review the completed form to ensure all the information provided is accurate and legible. Sign and date the form, as required.
Who needs histology request form 81:
01
Pathologists: Histology request forms are commonly used by pathologists to request histological analysis of specimens. They need this form to document the necessary information for proper examination and interpretation of the specimen.
02
Physicians and Surgeons: Doctors who perform procedures requiring histological analysis, such as biopsies or surgeries, may need to complete form 81 to request the pathology laboratory to perform the necessary tests on the specimens obtained.
03
Medical and Healthcare Facilities: Hospitals, clinics, and other medical establishments often utilize histology request forms to streamline the process of submitting specimens for analysis. This enables them to ensure accurate and complete documentation of patient information and request details.
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