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HISTOPATHOLOGY SPECIMEN REQUISITION CONTRA COSTA PATHOLOGY ASSOCIATES Barry Later, M.D. Ran Manual, M.D. T. Edwin Poor, M.D. Aisha Randall, M.D. Nader Shinobi, M.D. Nicholas Byrne, M.D. Christine

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How to fill out specimen requisition --hematopathology 110813

01

To fill out the specimen requisition for hematopathology, follow these steps:

02

Start by providing the patient's information, including their name, date of birth, and patient ID.

03

Specify the source of the specimen, such as blood, bone marrow, lymph node, or other relevant tissues.

04

Indicate the date and time the specimen was collected.

05

Enter the clinical history and relevant diagnosis if available.

06

Include any special instructions or requests for the pathologist, if necessary.

07

Provide the name of the ordering physician and their contact information.

08

Complete the billing information, including insurance details if required.

09

Sign and date the requisition form to authorize the testing.

10

Ensure that all the required fields are filled accurately and legibly.

11

Submit the specimen requisition along with the collected specimen to the designated laboratory or pathologist.

Who needs specimen requisition --hematopathology 110813?

01

Specimen requisition for hematopathology (110813) is required by healthcare providers who need to order diagnostic testing for patients suspected or diagnosed with hematologic disorders.

02

This may include hematologists, oncologists, general physicians, or other healthcare professionals involved in the diagnosis and treatment of blood-related conditions.

03

The requisition helps ensure that the proper tests are performed on the collected specimen and assists the pathologist in providing accurate and timely diagnostic results.

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