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87256 GI PATHOLOGY REQUISITION CLIENT INFORMATION PATIENT INFORMATION Last Name First Name M.I. Street Address Apt. # State City Patient Phone Number Date of Birth / / Age Zip Patient Social Security
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How to fill out gi pathology requisition

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How to fill out a GI pathology requisition:

01
Start by writing your personal information at the top of the requisition form. This includes your full name, date of birth, address, and contact information.
02
Next, indicate the name of the referring physician or healthcare provider who is requesting the GI pathology examination. This information is crucial for ensuring accurate results and communication.
03
Specify the reason for the GI pathology requisition. Here, you should provide details about the symptoms or medical condition that necessitates the examination. This information helps the pathologist understand the context and focus of the analysis.
04
Indicate any relevant clinical history, such as previous diagnoses, treatments, or surgeries related to the gastrointestinal system. This section provides important background information that may influence the interpretation of the pathology results.
05
Include the specific tests or procedures requested. In the case of a GI pathology requisition, this usually involves procedures like biopsies, endoscopies, or imaging studies. Clearly state what specific samples or specimens are being sent for examination.
06
Specify any special requests or additional information that the pathologist should be aware of. This can include specific stains, techniques, or particular areas of interest that require special attention during the examination.
07
Finally, ensure that the requisition form is signed and dated. This signature confirms that you understand and authorize the GI pathology examination.

Who needs a GI pathology requisition?

A GI pathology requisition is typically required by patients who are experiencing gastrointestinal symptoms or have been identified with abnormal findings during routine screenings or other diagnostic procedures. Referring physicians, gastroenterologists, and other healthcare professionals will request a GI pathology examination when they suspect or need to confirm a specific diagnosis related to the digestive system. This requisition serves as a formal request for pathology analysis and guides the pathologist in evaluating the collected specimens to provide accurate diagnostic information.
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GI pathology requisition is a form used to request pathology testing on gastrointestinal samples.
Healthcare providers such as doctors, specialists, or surgeons are required to file GI pathology requisition.
The GI pathology requisition form must be completed with patient information, specimen details, and the specific tests requested.
The purpose of GI pathology requisition is to analyze gastrointestinal samples for diagnostic and treatment purposes.
Patient demographics, specimen collection date, clinical history, requested tests, and provider information must be reported on GI pathology requisition.
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