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2119 E. 93rd / L15 Cleveland, OH 44106 216.444.5755 or 800.628.6816IMMUNOHISTOCHEMISTRY (IOC), SPECIAL STAINS (SS), & FISH REQUISITIONFORM_IDPATIENT INFORMATION (PLEASE PRINT IN BLACK INK) ___ Last
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How to fill out home department of pathologyrequisitions

01
Obtain the home department of pathology requisition form from the appropriate department or source.
02
Fill out the patient's information accurately, including name, date of birth, and any other relevant identification details.
03
Provide the reason for the pathology request and any specific tests or procedures to be performed.
04
Include the ordering physician's information, including name, contact details, and signature.
05
Ensure all required fields are completed and any necessary supporting documentation is attached.
06
Submit the completed requisition form to the pathology department for processing.

Who needs home department of pathologyrequisitions?

01
Medical professionals such as physicians, surgeons, and specialists who require pathology services for their patients.
02
Patients who have been referred for pathology testing or procedures by their healthcare provider.
03
Hospital or clinic staff responsible for coordinating and organizing pathology requests and services.
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Home department of pathologyrequisitions is a form used to request pathology services within a specific department or unit.
The head of the department or unit requesting pathology services is required to file home department of pathologyrequisitions.
Home department of pathologyrequisitions is typically filled out by providing patient information, reason for the request, and any additional relevant details.
The purpose of home department of pathologyrequisitions is to facilitate the request and processing of pathology services within a specific department or unit.
Information such as patient details, reason for request, desired tests or services, and any special instructions must be reported on home department of pathologyrequisitions.
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