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Surgical Pathology Requisition Form SUNYDownstate Medical Center, University Hospital of Brooklyn 450 Clarkson Avenue, Box 37. Brooklyn, NY 11203

How to fill out surgical pathology specimen requisition

How to fill out surgical pathology specimen requisition

1. Gather all necessary patient information, including name, date of birth, and medical record number.
2. Write the name of the referring physician or healthcare provider.
3. Specify the date and time the specimen was obtained.
4. Indicate the type of specimen being submitted (e.g., biopsy, resection, aspirate).
5. Provide a detailed description of the specimen, including the site from which it was obtained.
6. Include relevant clinical information and the reason for the specimen analysis.
7. Specify any special instructions for handling or processing the specimen.
8. Include the patient's insurance information, if required.
9. Sign and date the requisition form.
10. Submit the completed requisition form along with the specimen to the laboratory.

Who needs surgical pathology specimen requisition?

1. Surgeons who perform procedures requiring pathology analysis.
2. Pathologists who analyze and diagnose pathological specimens.
3. Clinics and hospitals that offer surgical pathology services.
4. Medical researchers studying specific diseases or conditions.
5. Medical students learning about surgical pathology.

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What is surgical pathology specimen requisition?

Surgical pathology specimen requisition is a form used to request the examination of tissue samples removed during a surgical procedure.

Who is required to file surgical pathology specimen requisition?

The healthcare provider or surgeon performing the procedure is required to file the surgical pathology specimen requisition.

How to fill out surgical pathology specimen requisition?

The surgical pathology specimen requisition form can be filled out by providing patient information, specimen details, clinical history, and other relevant information.

What is the purpose of surgical pathology specimen requisition?

The purpose of surgical pathology specimen requisition is to ensure proper examination and diagnosis of tissue samples to guide patient treatment.

What information must be reported on surgical pathology specimen requisition?

Information such as patient name, date of birth, specimen source, collection date, clinical history, and relevant lab tests must be reported on the surgical pathology specimen requisition.