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PATHOLOGY REQUISITION CYTOLOGY PATIENT INFORMATIONTodays Date:Last Name:First Name:M.I.:Attending Physician:DOB:Ordering Physician (Please print): DIAGNOSIS: COPY TO:CLINICAL HISTORY:LMP / / PREVIOUS
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How to fill out pathology requisition cytology

How to fill out pathology requisition cytology
01
Start by gathering all the necessary information such as patient details, referring physician details, and clinical history.
02
Fill out the patient's demographic information including their full name, date of birth, gender, and address.
03
Clearly specify the reason for the cytology requisition and provide a brief clinical history to provide context for the pathologist.
04
Indicate the site or location from where the sample is being obtained. This could be a specific organ or tissue.
05
Specify the type of cytology test required and any specific instructions for sample collection, handling, or transport.
06
Include the date and time the requisition is being completed, along with the name and signature of the ordering physician.
07
Double-check all the information provided to ensure accuracy and completeness before submitting the requisition.
Who needs pathology requisition cytology?
01
Pathology requisition cytology is typically required by healthcare professionals who suspect or need confirmation of a potential abnormality or disease at a cellular level.
02
This may include physicians, surgeons, oncologists, or other specialists who are responsible for diagnosing and treating patients.
03
Pathologists themselves may also need a requisition cytology form to request further testing or consultation from other laboratories or experts.
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What is pathology requisition cytology?
Pathology requisition cytology is a form used to request laboratory analysis of cellular samples to diagnose diseases, including cancer.
Who is required to file pathology requisition cytology?
Healthcare professionals such as doctors, nurse practitioners, and physicians' assistants are required to file pathology requisition cytology when they need to test patient samples.
How to fill out pathology requisition cytology?
To fill out a pathology requisition cytology, provide patient information (name, date of birth, identification), clinical history, type of specimen, any specific tests requested, and the healthcare provider's information.
What is the purpose of pathology requisition cytology?
The purpose of pathology requisition cytology is to provide a formal request for the examination of cellular samples to assist in diagnosing medical conditions, monitoring treatments, and guiding patient management.
What information must be reported on pathology requisition cytology?
The information that must be reported includes patient demographics, clinical information, the source of the specimen, specific tests requested, and the physician's details.
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