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Thousand Oaks Pathology Associates, Inc. Wayne M. Schultheis, M.D., Director Edward I. Blackman, M.D. Richard H. Kelly, M.D. Regina P. C. Singsong, M.D. James J. Yin, M.D. 351 Rolling Oaks Drive #100
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How to fill out the frozen section scheduling form:

01
Start by carefully reading the instructions provided on the form. Make sure you understand each section and the information required.
02
Begin with the patient's details. Fill in their name, date of birth, and any other requested personal information. Double-check for accuracy to avoid any confusion.
03
Next, provide relevant medical information about the patient. This may include their medical history, current medications, and any known allergies. Ensure this information is completed accurately and legibly.
04
Moving on, mention the specific purpose or reason for requesting the frozen section analysis. Clearly state the clinical question or concern that needs to be addressed through this procedure.
05
Indicate the specific tissues or organs from which the frozen section samples will be taken. Be as specific as possible to ensure the pathologist can accurately interpret the results.
06
Provide any additional information or special instructions, if necessary. This could include requests for specific staining techniques or any other relevant details that will aid in the analysis.
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Finally, sign and date the form to confirm your authorization and responsibility for the request.

Who needs the frozen section scheduling form:

01
Surgeons: The frozen section scheduling form is essential for surgeons who require immediate pathological analysis during a surgical procedure. It helps them assess the nature of tissues, guide intraoperative decisions, and determine the course of action based on the results.
02
Pathologists: The form is crucial for pathologists who perform frozen section analyses. It provides them with the necessary information about the patient, the suspected pathology, and any specific requests for the analysis.
03
Operating room staff: The frozen section scheduling form is also relevant for the operating room staff who ensure the smooth implementation of the procedure. They need to be aware of the scheduling and logistics involved to ensure timely delivery and processing of the frozen section samples.
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Frozen section scheduling form is a document used to request and schedule frozen section analysis during a surgical procedure.
The surgeon or pathologist performing the procedure is required to file the frozen section scheduling form.
The form should be filled out with patient information, procedure details, and requested analysis information.
The purpose of the form is to ensure timely and accurate frozen section analysis during surgery.
Patient name, medical record number, procedure type, requested analysis, and surgeon/pathologist contact information.
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