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Laboratory use onlyClient No. Specimen No. PEDIATRIC PATHOLOGY SERVICE REQUEST Date of Procedure: Time: am / containers Qty: Slides Qty: Patients Patient's Name: Record No. Month / Day / Year Age:

How to fill out podiatric pathology service request

How to fill out podiatric pathology service request

1. Start by obtaining the podiatric pathology service request form from the relevant healthcare facility or institution.
2. Fill in the patient's personal information, such as their name, date of birth, address, and contact information, in the designated fields.
3. Provide the necessary details about the referring healthcare professional or institution, including their name, address, and contact information.
4. Fill out the clinical history section, providing information about the patient's symptoms, medical history, and any previous surgeries or treatments related to the foot or lower limb.
5. Clearly describe the reason for the pathology service request, including any specific concerns or areas of interest that need to be addressed during the examination.
6. Indicate the type of pathology service requested, such as a biopsy, histopathology, or cytology, and specify the sample or lesion location.
7. If applicable, provide any additional instructions or comments regarding the specimen collection, transportation, or processing.
8. Review the completed form for accuracy and completeness, ensuring all necessary sections are filled out.
9. Sign and date the form to certify its validity and accuracy.
10. Submit the filled-out podiatric pathology service request form to the appropriate department or laboratory as per the healthcare facility's guidelines.

Who needs podiatric pathology service request?

1. Any individual who is experiencing foot or lower limb issues, such as pain, inflammation, infections, deformities, or abnormalities may require a podiatric pathology service request.
2. Podiatrists, orthopedic surgeons, general practitioners, or any healthcare professionals specializing in foot and ankle conditions may need to request podiatric pathology services for their patients.
3. Hospitals, clinics, medical laboratories, or any healthcare institutions that offer podiatric services and need to diagnose and treat various foot pathologies often utilize podiatric pathology service requests.

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