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Cancer Cytogenetics Requisition (v1.2) Cytogenomics and Molecular Pathology Laboratory Division of Laboratory and Genomic Medicine, Department of Pathology Phone: 3144548101 Fax: 3144545192 Lab Director
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How to fill out cancer cytogenetics requisition

01
To fill out a cancer cytogenetics requisition form, follow these steps:
02
Start by entering the patient's personal information, such as their name, date of birth, and contact details.
03
Provide the patient's medical history, including any relevant symptoms, prior diagnoses, and previous treatments.
04
Indicate the referring physician or healthcare provider who is requesting the cytogenetics analysis.
05
Specify the reason for the testing, such as suspected chromosomal abnormalities or genetic predisposition.
06
Include the date when the specimen will be collected, along with the preferred method of collection (e.g., blood, bone marrow).
07
Mention any specific instructions for sample handling, transportation, or storage.
08
If applicable, provide information about the patient's insurance coverage and billing details.
09
Finally, sign and date the requisition form to signify your authorization and responsibility for the testing.

Who needs cancer cytogenetics requisition?

01
Cancer cytogenetics requisition is typically needed by:
02
- Oncologists or hematologists who suspect chromosomal abnormalities in their patients.
03
- Genetic counselors who are assessing genetic predisposition or risks for certain cancers.
04
- Pathologists or lab technicians responsible for carrying out cytogenetic analyses.
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Cancer cytogenetics requisition is a form that requests genetic testing and analysis of cancer cells to determine any chromosomal abnormalities.
Oncologists, pathologists, and other healthcare providers involved in the diagnosis and treatment of cancer patients are required to file cancer cytogenetics requisition.
The cancer cytogenetics requisition form must be completed with patient information, clinical history, specific testing requested, and signature of the ordering physician.
The purpose of cancer cytogenetics requisition is to aid in the diagnosis, prognosis, and treatment planning for cancer patients by identifying genetic abnormalities in cancer cells.
Patient demographics, clinical history, type of cancer, specific genetic tests needed, and ordering physician information must be reported on cancer cytogenetics requisition.
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