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

CANCER GENETICS REQUISITION Cancer Genetics Lab Room # 3305 British Columbia Cancer Agency 600 West 10th Avenue, Vancouver BC V5Z 4E6 Phone: (604) 877 6000 Ext. 2094 (Reports) Ext. 2049 (Cytogenetics)

How to fill out pathology request form

How to fill out a pathology request form:

1. Start by clearly identifying the patient by filling out their full name, date of birth, and any other required personal information.
2. Provide the necessary contact information, including the patient's phone number and address. This ensures the pathology lab can reach out if there are any questions or concerns.
3. Indicate the reason for the pathology request, providing a brief explanation of the symptoms, medical history, or any specific tests that need to be conducted.
4. Specify the type of pathology test required, such as a biopsy, blood test, or imaging study.
5. Include any relevant medical information, such as previous diagnoses, medications, allergies, and ongoing treatments.
6. Make sure to sign and date the form, as this validates the request and confirms your consent.
7. Attach any supporting documents, such as medical records or images, that are relevant to the pathology request.
8. Submit the completed form to the pathology lab or healthcare provider as per their instructions.

Who needs a pathology request form:

1. Patients who require further investigation or diagnosis of a medical condition.
2. Medical practitioners, including doctors, specialists, and nurses, who need to request pathology tests for their patients.
3. Researchers or scientists who are conducting studies and experiments in the field of pathology and require samples or data for analysis.

For pdfFiller’s FAQs

What is pathology request form?

The pathology request form is a document used to request pathology services for diagnostic testing.

Who is required to file pathology request form?

Medical practitioners, healthcare providers, or individuals requesting pathology services are required to file the pathology request form.

How to fill out pathology request form?

To fill out the pathology request form, one must provide patient information, type of testing requested, clinical history, and any other relevant details.

What is the purpose of pathology request form?

The purpose of the pathology request form is to request diagnostic testing to help in the diagnosis and treatment of medical conditions.

What information must be reported on pathology request form?

Patient information, testing requested, clinical history, and any other relevant details must be reported on the pathology request form.

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