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Children's Hospital Los Angeles Alexander R. Judging, MD Department of Pathology & Laboratory Medicine PathologistinChief and Laboratory Director Phone: 323.361.2423, 877.543.9522 Fax: 323.361.6157

How to fill out online ocular disease focused

How to fill out CA CHLA Chromosomal Microarray-Oncology Requisition

1. Obtain the CA CHLA Chromosomal Microarray-Oncology Requisition form from the appropriate source.
2. Enter the patient's full name in the designated field.
3. Include the date of birth and gender of the patient.
4. Provide the referring physician's name and contact information.
5. Indicate the specific tests being requested on the form.
6. Fill in the clinical history and indication for testing, including any relevant diagnoses.
7. Include any necessary insurance information and billing details.
8. Sign and date the requisition form at the bottom.
9. Ensure that any required samples (like blood or tissue) are collected and properly labeled.
10. Submit the completed requisition form along with the sample to the laboratory.

Who needs CA CHLA Chromosomal Microarray-Oncology Requisition?

1. Patients with suspected genetic disorders or cancers that may benefit from chromosomal microarray analysis.
2. Oncologists and geneticists seeking detailed genomic information for diagnosis and treatment planning.
3. Healthcare providers involved in the diagnosis and management of oncology patients.

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What is CA CHLA Chromosomal Microarray-Oncology Requisition?

The CA CHLA Chromosomal Microarray-Oncology Requisition is a document used for the submission of patient samples for chromosomal microarray analysis specifically in the context of oncology. It allows healthcare providers to request genetic testing to identify chromosomal abnormalities associated with cancer.

Who is required to file CA CHLA Chromosomal Microarray-Oncology Requisition?

Healthcare professionals, such as oncologists and genetic counselors, are required to file the CA CHLA Chromosomal Microarray-Oncology Requisition when they are referring patients for chromosomal microarray testing as part of cancer diagnosis or management.

How to fill out CA CHLA Chromosomal Microarray-Oncology Requisition?

To fill out the CA CHLA Chromosomal Microarray-Oncology Requisition, the provider must complete all required fields, including patient demographic information, relevant clinical history, clinical indications for testing, and signature of the ordering physician. Any specific instructions or preferences for testing should also be noted.

What is the purpose of CA CHLA Chromosomal Microarray-Oncology Requisition?

The purpose of the CA CHLA Chromosomal Microarray-Oncology Requisition is to facilitate the effective and accurate ordering of chromosomal microarray tests for oncology patients, aiding in the identification of genetic alterations that can impact treatment decisions and patient management.

What information must be reported on CA CHLA Chromosomal Microarray-Oncology Requisition?

The CA CHLA Chromosomal Microarray-Oncology Requisition must report information such as patient name, date of birth, gender, clinical indication for testing, relevant family history, and the ordering physician's contact information. Additionally, any prior testing results and relevant diagnoses should be included.