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GU Pathology Requisition 1351 Barclay Blvd., Buffalo Grove, IL 60089 Tel: 855.467.2849 Fax: 224.588.9941 www.gopathlabs.comPATIENT INFORMATION (Please print)ORDERING PHYSICIAN / LAB INFORMATION (Please
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How to fill out gu pathology requisition

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Step 1: Start by entering the patient's demographic information, including name, date of birth, and gender.
02
Step 2: Provide the patient's contact information, such as address and phone number.
03
Step 3: Specify the ordering physician's name and contact details.
04
Step 4: Indicate the date when the requisition is being filled out.
05
Step 5: Describe the clinical history and relevant symptoms of the patient.
06
Step 6: Select the appropriate tests or procedures that are being requested.
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Step 7: Include any additional relevant information or specific instructions for the pathologist.
08
Step 8: Provide any necessary billing or insurance information.
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Step 9: Review the completed requisition form for accuracy and completeness before submission.

Who needs gu pathology requisition?

01
A gu pathology requisition is typically needed by healthcare professionals, such as urologists, nephrologists, or general physicians who are evaluating patients for genitourinary-related conditions or diseases.
02
It can also be required by medical facilities, laboratories, or healthcare organizations that provide pathology services for such patients.
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Gu pathology requisition is a form used to request the analysis and diagnosis of genitourinary tract samples in pathology.
Medical professionals such as doctors, surgeons, or urologists are required to file gu pathology requisition.
Gu pathology requisition form must be filled out with patient information, sample details, clinical history, and test request.
The purpose of gu pathology requisition is to aid in the diagnosis and management of diseases affecting the genitourinary tract.
Patient demographics, specimen type, collection date/time, clinical history, and specific tests requested must be reported on gu pathology requisition.
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