Get the free frozen section submission form - niehs nih

Frozen Section Submission Form Date Submitted Name of person submitting work Group Phone Ext Group Leader Estimated Cost Based on slides Estimated Start Date Contingent on receipt of samples Estimated Completion Date Estimated Time to Complete hrs Work Requested Number of Samples Species Tissue Type Tissue Fixative if any Number of slides to cut Immunohistochemistry Yes/ No Antibodies Chemical treatment s used on samples if applicable Cutting Ins...

How to fill out frozen section submission form

How to fill out frozen section submission form:

1. Start by entering the date and your personal information, including your name, contact information, and any relevant medical identification numbers.
2. Provide detailed information about the patient, such as their name, age, gender, and any pre-existing medical conditions.
3. Indicate the requested pathology consultation, specifying the type of examination needed and any specific areas of concern.
4. Include information about the specimen, including the anatomical source, size, and any relevant clinical history or prior treatments.
5. Specify the requested turnaround time for the results, if applicable.
6. If necessary, provide additional information or instructions for the pathologist.
7. Sign and date the form to indicate your agreement with the terms and conditions.

Who needs frozen section submission form:

1. Surgeons who require immediate pathological evaluation during a surgical procedure.
2. Pathologists who need to document and track frozen sections for quality control purposes.
3. Patients who want to ensure accurate and timely diagnosis during their surgical procedure.

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What is frozen section submission form?

The frozen section submission form is a document used in pathology to request the rapid examination of tissue samples by a pathologist during surgical procedures, allowing for immediate diagnostic results.

Who is required to file frozen section submission form?

Typically, the surgeon performing the procedure is required to file the frozen section submission form, along with any necessary clinical information relevant to the tissue sample being submitted.

How to fill out frozen section submission form?

To fill out the frozen section submission form, the surgeon should provide information such as patient demographics, clinical history, details of the specimen submitted, and specific questions or concerns that need to be addressed by the pathologist.

What is the purpose of frozen section submission form?

The purpose of the frozen section submission form is to facilitate quick diagnosis during surgery, allowing for immediate surgical decisions, such as whether to proceed with resection or additional tissue sampling based on pathological findings.

What information must be reported on frozen section submission form?

The frozen section submission form must report the patient's name, date of birth, medical record number, the type of specimen, clinical diagnosis, relevant clinical history, and specific inquiries the surgeon has regarding the sample.