Get the free EGFR IHC REQUEST FORM - UCL Advanced Diagnostics

EFR IOC REQUEST FORM UCL Advanced Diagnostics 1st Floor, Rockefeller Building 21 University Street, London WC1E 6JJ email: info uclad.com phone: 020 76796039 websites: www.uclad.com FOR LABORATORY

How to fill out egfr ihc request form

How to fill out an EGFR IHC request form:

1. Start by downloading the EGFR IHC request form from the designated website or obtaining a physical copy from the relevant medical facility.
2. Fill out your personal information accurately in the designated sections of the form. This may include your name, contact information, date of birth, and any other necessary identification details.
3. Provide information about the patient for whom the EGFR IHC testing is being requested. Include their full name, date of birth, medical record number (if applicable), and any other relevant patient details.
4. Indicate the specific reason for requesting the EGFR IHC test. This may include the suspicion of a particular disease or condition, the need for targeted therapy, or the desire to determine the patient's eligibility for certain treatment options.
5. Specify any pertinent clinical history that could aid in the interpretation of the test results. Include details about previous diagnoses, treatments, or relevant surgeries.
6. If applicable, provide information regarding any chemotherapy or targeted therapy the patient is currently receiving or has received in the past. This information helps in determining the patient's response to specific treatments.
7. Indicate the preferred method of result delivery, whether it is through fax, email, or regular mail.
8. If required, provide any additional comments or special instructions that may assist the laboratory in conducting the test accurately.

Who needs an EGFR IHC request form:

1. Medical professionals or healthcare providers who suspect a patient may have an abnormal EGFR protein expression and wish to confirm this through immunohistochemistry (IHC) testing.
2. Patients who have been diagnosed with or are being evaluated for diseases or conditions associated with EGFR protein abnormalities, such as certain types of cancer or pulmonary diseases.
3. Individuals who are interested in determining their eligibility for targeted therapy options that rely on the detection of EGFR protein expression levels.
4. Researchers or scientists conducting studies on EGFR protein expression and its implications in different diseases may also require an EGFR IHC request form to submit samples for analysis.

Note: It is always advisable to consult with a medical professional or healthcare provider for guidance on whether an EGFR IHC test is necessary and to ensure proper completion of the request form.

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