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Get the free Pathology request form - BC Cancer Agency - bccancer bc

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Addressograph only Histopathology lab phone 604-877-6000 # 2086 fax 604-877-6038 HISTOPATHOLOGY REQUISITION Shaded fields must be completed LEGIBLY (patient demographics may be addressographed instead).
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How to fill out pathology request form

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How to fill out a pathology request form:

01
Start by ensuring that you have the correct pathology request form. Different healthcare providers or facilities may have their own unique forms, so make sure you have the right one.
02
Begin by providing your personal information accurately. This may include your full name, address, contact number, and date of birth. It is important to ensure that this information is up to date and correctly filled out.
03
Identify the reason for the pathology request. Specify the specific tests or examinations that need to be conducted. This information helps the pathology laboratory understand the purpose of the request and perform the necessary tests accordingly.
04
If applicable, provide any relevant medical history or previous test results that may aid in the accurate interpretation of the pathology results.
05
Indicate the name and contact information of the healthcare provider or physician who is requesting the pathology examination. It is essential to include their full name, their medical practice or facility, as well as their contact details.
06
Make sure to review the completed form for any errors or missing information before submitting it. Double-check all the details, such as your personal information, the reason for the request, and the healthcare provider's information, to ensure accuracy.

Who needs a pathology request form:

01
Patients requiring specific medical or diagnostic assessments: The pathology request form is typically needed when a patient's healthcare provider requires specialized tests to be performed to aid in diagnosing a medical condition or monitoring a current condition. Pathology tests can include blood work, urine analysis, biopsies, or other diagnostic procedures.
02
Healthcare providers or physicians: Pathology request forms are primarily used by healthcare providers or physicians to request specific tests or examinations. They need these forms to provide comprehensive instructions to pathology laboratories about the required tests, along with the patient's personal and medical information.
03
Pathology laboratories: Pathology laboratories play a crucial role in receiving and processing pathology request forms. These forms provide the necessary details for the laboratory to perform the requested tests accurately. They need this information to ensure efficient and reliable analysis, enabling them to generate pathology reports that aid in patient care and treatment decisions.
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Pathology request form is a document used to request a pathology examination on a specimen taken from a patient for diagnostic or research purposes.
Medical professionals such as doctors, surgeons, and pathologists are required to file pathology request forms when ordering pathology tests.
Pathology request forms are typically filled out by providing patient information, relevant medical history, reason for the test, and specific test requests.
The purpose of pathology request form is to facilitate the ordering and processing of pathology tests to diagnose or monitor diseases and conditions.
Information such as patient demographics, clinical history, specific test requests, and ordering physician's information must be reported on pathology request forms.
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