Get the free Diagnostic Cytology request form - BC Cancer Agency - bccancer bc
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600 West 10th Avenue Vancouver, BC, Canada V5Z 4E6 Tel.: 604-877-6000 x 2101 Fax: 604-873-5384 DIAGNOSTIC CYTOLOGY REQUISITION NAME (LAST) NAME (FIRST) NOTE:Each specimen/part type must have a separate
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How to fill out diagnostic cytology request form
How to fill out a diagnostic cytology request form?
01
Start by filling out the patient's information section, including their full name, date of birth, gender, and contact information. This ensures accurate identification and communication.
02
Provide relevant clinical history, such as presenting symptoms, medical conditions, and any previous relevant tests or treatments. This information assists the pathologist in understanding the patient's medical background.
03
Indicate the date and time of the sample collection, as well as the type of specimen being submitted for analysis (e.g., fine needle aspiration, tissue biopsy, body fluids, etc.). Accurate documentation helps keep track of samples and ensures timely processing.
04
Specify the anatomical site or location from which the sample is collected. This information assists in determining the appropriate testing procedures and interpretation of results.
05
Include relevant information regarding any imaging studies or radiological findings, if applicable. This can aid in correlating cytology findings with imaging results and providing a more comprehensive report.
06
Fill in the referring physician's information, including their name, contact details, and any specific instructions or questions they may have. Clear communication with the referring physician helps ensure the pathologist addresses specific concerns successfully.
Who needs a diagnostic cytology request form?
01
Physicians: Diagnostic cytology request forms are needed by medical professionals who suspect or are investigating a potential abnormality or disease based on clinical symptoms, imaging findings, or suspected anatomical site involvement.
02
Patients: Patients may need a diagnostic cytology request form if their physician believes that a cytology examination can provide valuable diagnostic information for their specific condition.
03
Laboratories: Diagnostic cytology request forms are essential for laboratories that perform cytology tests, as they serve as a documented request for analysis and provide relevant patient and medical information necessary for accurate interpretation and reporting.
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What is diagnostic cytology request form?
Diagnostic cytology request form is a form used to request diagnostic cytology testing on specimens taken from patients.
Who is required to file diagnostic cytology request form?
Healthcare providers such as physicians, nurse practitioners, and other healthcare professionals are required to file diagnostic cytology request forms when ordering cytology testing.
How to fill out diagnostic cytology request form?
The form usually requires information such as patient demographics, specimen details, clinical history, and the reason for the cytology testing. It must be filled out accurately and completely.
What is the purpose of diagnostic cytology request form?
The purpose of the form is to provide relevant information to the cytology laboratory to ensure proper testing and accurate interpretation of results.
What information must be reported on diagnostic cytology request form?
Patient information, specimen details, clinical history, reason for testing, and healthcare provider details are typically reported on the diagnostic cytology request form.
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