Get the free HER2 FISH Process Form - Pathology - University of Michigan - pathology med umich

University of Michigan Health System Molecular Diagnostics Laboratory HER2 FISH Process Form Name Reg # Block # Specimen site Date received Fixative type Duration of fixation Completed by Date Histology

How to fill out her2 fish process form

How to fill out HER2 FISH process form:

1. Carefully read the instructions: Start by thoroughly reading the instructions provided with the HER2 FISH process form. This will help you understand the purpose of the form and the information it requires.
2. Gather necessary information: Before filling out the form, gather all the relevant information you will need. This may include patient details such as name, age, medical history, and any previous HER2 FISH test results.
3. Provide patient information: Begin by filling out the patient information section of the form. Include the patient's full name, date of birth, and any other required demographic details.
4. Clinical information: Fill in the clinical information section of the form. This may include the primary diagnosis, stage of cancer, and any additional relevant medical information.
5. Previous test results: If the patient has undergone previous HER2 FISH testing, provide the details in the appropriate section. Include the date of the previous test, the laboratory where it was conducted, and the result obtained.
6. Sample collection details: Indicate the date and location where the sample for the HER2 FISH test was collected. This may include details like the type of sample collected and the procedure used for sample collection.
7. Physician information: Provide the name and contact information of the prescribing physician or healthcare provider. This information is crucial for communication purposes and coordinating any necessary follow-up procedures.
8. Sign and date: Once you have completed filling out all the required sections of the form, carefully review the information for accuracy. Sign and date the form before submitting it to the designated laboratory or healthcare facility.

Who needs HER2 FISH process form?

1. Patients with suspected HER2-positive breast cancer: The HER2 FISH process form is typically required for patients with suspected HER2-positive breast cancer. This form helps healthcare providers assess the HER2 gene amplification in the tumor cells and determine the appropriate treatment options.
2. Oncologists and healthcare providers: Oncologists and healthcare providers involved in the diagnosis and treatment of breast cancer patients rely on the HER2 FISH process form. It provides them with crucial information necessary for accurate cancer staging and selection of targeted therapies.
3. Laboratories conducting HER2 FISH testing: Laboratories that specialize in performing HER2 FISH tests use this form to document patient details, clinical information, and test results. It allows laboratories to maintain accurate records and ensure proper communication with healthcare providers.

For pdfFiller’s FAQs

What is her2 fish process form?

The HER2 FISH Process Form is a document used to evaluate the HER2 gene amplification status in breast cancer cells.

Who is required to file her2 fish process form?

Pathologists and medical professionals who conduct HER2 FISH testing on breast cancer cells are required to file the HER2 FISH Process Form.

How to fill out her2 fish process form?

To fill out the HER2 FISH Process Form, you need to provide information such as patient details, testing laboratory details, specimen information, and the testing methodology used.

What is the purpose of her2 fish process form?

The purpose of the HER2 FISH Process Form is to ensure standardized reporting and documentation of HER2 FISH testing for breast cancer cases, allowing for accurate interpretation of results and appropriate patient management.

What information must be reported on her2 fish process form?

The HER2 FISH Process Form requires reporting of patient demographics, relevant clinical history, laboratory details, specimen characteristics, FISH testing methodology, interpretation of results, and any additional comments or recommendations.

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