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BIOPSY/HISTOPATHOLOGY REQUEST FORM Lab No. DIRECTORATE OF LABORATORY MEDICINE PATHOLOGY DEPARTMENT NHS LothianSEND REPORT TO M/Please use Printed Label CHI No. Surname Forename(s) Date of Birth Consultant
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How to fill out biopsycytopathology request form

01
Start by providing your personal information, such as your full name, date of birth, and contact details.
02
Indicate the reason for the biopsycytopathology request. This may include symptoms, concerns, or a specific area of the body being investigated.
03
Include any relevant medical history or previous test results that may assist the pathologist in interpreting the sample.
04
Specify the type of biopsy or cytology procedure being requested. This could include fine needle aspiration, core biopsy, or excisional biopsy.
05
Attach any supporting documents, such as radiology images or pathology reports, if available.
06
Provide detailed instructions for the delivery of the sample, including the date, time, and location of the collection.
07
Include any additional notes or requests that may be relevant for the pathologist to consider.
08
Review the form for accuracy and completeness before submitting it to the appropriate healthcare provider.

Who needs biopsycytopathology request form?

01
Individuals who require a biopsy or cytology procedure for diagnostic purposes.
02
Healthcare professionals who are ordering the biopsycytopathology procedure for their patients.
03
Laboratories or pathology centers that require a standardized request form for documentation and tracking purposes.
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Biopsycytopathology request form is a form used to request pathology services for analyzing tissue or cell samples.
Medical professionals such as doctors, surgeons, or pathologists are required to file biopsycytopathology request form.
Biopsycytopathology request form can be filled out by providing patient information, specimen details, and reason for the request.
The purpose of biopsycytopathology request form is to request analysis and diagnosis of tissue or cell samples for medical purposes.
Information such as patient name, date of birth, specimen type, clinical history, and contact information must be reported on biopsycytopathology request form.
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