UK Queen Elizabeth Hospital Histopathology Request Form 2018-2025 free printable template

HISTOPATHOLOGY REQUEST FORM Dept. Cellular Pathology, Queen Elizabeth Hospital Birmingham, UHF NHS Foundation Trust, Mendelsohn Way, Easton, Birmingham, B15 2WB Tel. 0121 371 3326 or Fax. 0121 371

How to fill out UK Queen Elizabeth Hospital Histopathology Request

How to fill out UK Queen Elizabeth Hospital Histopathology Request Form

1. Begin with patient identification: Fill in the patient's name and medical record number.
2. Provide the date of birth and gender of the patient.
3. Indicate the referring clinician's name and contact details.
4. Specify the type of specimen being submitted (e.g., biopsy, surgical specimen).
5. Complete the clinical details section; include pertinent medical history and the reason for the request.
6. Mark the appropriate histology category that best describes the specimen.
7. If applicable, indicate any special stains or tests requested.
8. Ensure all required signatures are completed, including those from the referring clinician.
9. Double-check that all information is accurate and complete.
10. Submit the form along with the specimen to the histopathology department.

Who needs UK Queen Elizabeth Hospital Histopathology Request Form?

1. The UK Queen Elizabeth Hospital Histopathology Request Form is needed by healthcare professionals, such as doctors and surgeons, who are submitting tissue samples for pathological examination.
2. It is also required by any medical staff involved in diagnosing diseases based on tissue analysis.

People Also Ask about

What is histopathology form?

Histopathology is the diagnosis and study of diseases of the tissues, and involves examining tissues and/or cells under a microscope. Histopathologists are responsible for making tissue diagnoses and helping clinicians manage a patient's care.

How to fill histopathology requisition form?

b) Complete the requisition in legible writing with all the following required information: • Patient name, PHN, DOB • Requesting physician, MSC and address • Clinical/Radiological summary of the patient sample • Date sample(s) taken • List each sample on requisition with o Specimen site and type of procedure o Time

What does histopathology mean in cancer?

(HIS-toh-puh-THAH-loh-jee) The study of diseased cells and tissues using a microscope.

What information is included on the histopathology request form?

Please ensure that request forms are fully, correctly and legibly labelled. We require full patient demographics, hospital registration number/NHS number, nature of specimen, clinical details, contact details of person in charge of the case, consultant/GP, Ward/location/GP surgery, date and time the specimen was taken.

Why is histopathology test done?

Histopathology is the study of the signs of the disease using the microscopic examination of a biopsy or surgical specimen that is processed and fixed onto glass slides. To visualize different components of the tissue under a microscope, the sections are dyed with one or more stains.

Is histopathology used to diagnose cancer?

Histopathology/cytopathology Historically, histopathology and cytopathology have been the main tools utilised in the diagnosis of cancer.

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What is UK Queen Elizabeth Hospital Histopathology Request Form?

The UK Queen Elizabeth Hospital Histopathology Request Form is a document used to request histopathological examination of tissue samples to diagnose diseases, particularly cancer.

Who is required to file UK Queen Elizabeth Hospital Histopathology Request Form?

Healthcare professionals, such as doctors or surgeons, who are involved in patient care and need to request histopathological analysis of tissue samples are required to file this form.

How to fill out UK Queen Elizabeth Hospital Histopathology Request Form?

To fill out the form, the requester must provide accurate patient details, clinical history, the site of the specimen, and any relevant additional information that could assist in diagnosis.

What is the purpose of UK Queen Elizabeth Hospital Histopathology Request Form?

The purpose of the form is to facilitate the proper collection, documentation, and processing of tissue samples for diagnostic purposes in histopathology.

What information must be reported on UK Queen Elizabeth Hospital Histopathology Request Form?

The information that must be reported includes patient demographics, clinical history, specific details about the specimen, and the requester’s contact information.