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HISTOLOGY REQUISITION FORM
University of Colorado Denver Morphology and Phenotyping Core
RC1North, Room 8403A; Mail Stop 8320; (303) 7241702; histology×Denver.educate:
Fixed Samples
Paraffin Blocks
Frozen
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How to fill out histology requisition form
How to fill out histology requisition form
01
To fill out a histology requisition form, follow these steps:
02
Start by providing your personal information, including your name, contact number, and address.
03
Next, fill in the date of the requisition form.
04
Specify the patient details such as their name, date of birth, and gender.
05
Indicate the source of the specimen being submitted for histology, such as biopsy, surgical resection, or autopsy.
06
Provide relevant clinical information about the patient, including the reason for the examination and any specific requests.
07
Include the name of the referring physician or healthcare provider.
08
If applicable, indicate any special handling or staining requirements for the specimen.
09
Lastly, sign the requisition form to authorize the request and ensure it is complete and accurate.
Who needs histology requisition form?
01
Histology requisition forms are typically needed by healthcare professionals involved in the collection and analysis of tissue specimens. This may include pathologists, surgeons, oncologists, or other medical specialists who require histological examination to diagnose or monitor a patient's condition. Histology laboratories also require these requisition forms to ensure proper documentation and tracking of samples.
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What is histology requisition form?
Histology requisition form is a document used to request histology services for analyzing tissue samples and diagnosing diseases.
Who is required to file histology requisition form?
Histology requisition form is typically filled out by healthcare professionals such as doctors, pathologists, or medical technologists.
How to fill out histology requisition form?
Histology requisition form should be completed by providing patient information, specimen details, clinical history, and requested tests.
What is the purpose of histology requisition form?
The purpose of histology requisition form is to ensure accurate processing and analysis of tissue samples for diagnostic purposes.
What information must be reported on histology requisition form?
Information such as patient name, date of birth, specimen type, clinical history, and requested tests must be reported on histology requisition form.
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