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UT Southwestern Tissue Management ResourceIMMUNOHISTOCHEMISTRY REQUEST FORM5323 Harry Hines Blvd, Building K1.210 Dallas, Texas 75390Simmons Comprehensive Cancer CenterTelephone: 2146487598Email:
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How to fill out immunohistochemistry ihc request form
How to fill out immunohistochemistry ihc request form
01
To fill out an immunohistochemistry (IHC) request form, follow these steps:
02
Obtain a copy of the IHC request form from the appropriate department or laboratory.
03
Start by providing your personal information, such as your name, contact details, and any relevant identification numbers.
04
Specify the patient's information, including their name, date of birth, and unique patient identifier if available.
05
Indicate the tissue or specimen type being submitted for IHC analysis.
06
Describe the specific IHC analysis required, including details of the antibodies to be used or any special staining techniques.
07
Include any additional information or special instructions, such as the desired turnaround time or any other relevant clinical findings.
08
If applicable, provide billing information or insurance details.
09
Record the date and your signature to validate the request form.
10
Review the completed form for accuracy and completeness before submitting it to the appropriate laboratory or department.
Who needs immunohistochemistry ihc request form?
01
Immunohistochemistry (IHC) request forms are typically required by healthcare professionals or researchers involved in studying and diagnosing diseases at a cellular level.
02
Common individuals who may need to fill out an IHC request form include:
03
- Pathologists
04
- Medical laboratory technicians
05
- Oncologists
06
- Researchers
07
- Clinical trial participants
08
These forms are necessary to ensure proper documentation and communication between healthcare providers and laboratories performing the IHC analysis.
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What is immunohistochemistry ihc request form?
The immunohistochemistry (IHC) request form is a document used to request the application of immunohistochemical staining techniques on tissue samples to identify specific antigens.
Who is required to file immunohistochemistry ihc request form?
Healthcare professionals, including pathologists and laboratory personnel, who require immunohistochemical analysis for diagnostic purposes are required to file the IHC request form.
How to fill out immunohistochemistry ihc request form?
To fill out the IHC request form, provide patient information, specify the type of tissue sample, detail the specific antigens to be tested, and include any relevant clinical history or notes.
What is the purpose of immunohistochemistry ihc request form?
The purpose of the IHC request form is to formally document and communicate the need for immunohistochemical testing, ensuring accurate and timely analysis of tissue samples.
What information must be reported on immunohistochemistry ihc request form?
The information that must be reported includes patient identification details, sample type, a list of antigens to be tested, clinical history, and any special instructions for the laboratory.
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