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PATHOLOGY CONSULT REQUISITION2119 E. 93rd / L15 Cleveland, OH 44106 216.444.5755 or 800.628.6816FORM_CLIENT INFORMATIONPATIENT INFORMATION (PLEASE PRINT IN BLACK INK) ___ Last NameFirstMI ___ AddressBirth
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How to fill out pathology consult requisition

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How to fill out pathology consult requisition

01
Fill out patient demographics including name, date of birth, and medical record number.
02
Provide detailed clinical history including reason for consultation.
03
Specify the type of specimen being sent for analysis.
04
Include relevant laboratory and imaging results if available.
05
Clearly state the questions or concerns to be addressed by the pathologist.

Who needs pathology consult requisition?

01
Patients who require further evaluation of their medical condition.
02
Healthcare providers who are looking for expert opinion or guidance on a patient's diagnosis or treatment.
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Pathology consult requisition is a request for pathology consultation on a medical case.
Medical professionals such as physicians, surgeons, or other healthcare providers may be required to file pathology consult requisition.
Pathology consult requisition can be filled out by providing patient information, medical history, reason for consultation, and any relevant test results.
The purpose of pathology consult requisition is to seek expert opinion from a pathologist on a specific medical case.
Patient details, medical history, reason for consultation, and any relevant test results must be reported on pathology consult requisition.
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