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Molecular Oncology 1100 Fairview Avenue North, D2281 Seattle, WA 981091024 Phone: (206) 6672592 molab@fredhutch.orgMolecular Oncology Clinical Requisition Form Specimen Requirements Bone marrow aspirate:

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How to fill out molecular oncology clinical requisition

01

Step 1: Fill out patient demographic information including name, date of birth, and medical record number.

02

Step 2: Provide information about the referring physician or healthcare provider.

03

Step 3: Specify the type of molecular testing required for the patient.

04

Step 4: Provide a detailed clinical history and reason for requesting the test.

05

Step 5: Include relevant pathology reports and imaging studies, if available.

06

Step 6: Sign and date the requisition form to authorize the test.

Who needs molecular oncology clinical requisition?

01

Patients suspected of having or diagnosed with cancer who could benefit from personalized treatment based on molecular profiling.

02

Healthcare providers involved in the care of cancer patients who want to provide tailored treatment options.

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What is molecular oncology clinical requisition?

Molecular oncology clinical requisition is a formal request for molecular testing to help diagnose and guide treatment for cancer patients.

Who is required to file molecular oncology clinical requisition?

Medical professionals, such as oncologists or pathologists, are required to file molecular oncology clinical requisitions.

How to fill out molecular oncology clinical requisition?

To fill out a molecular oncology clinical requisition, medical professionals need to provide patient information, relevant medical history, and specify the type of molecular testing needed.

What is the purpose of molecular oncology clinical requisition?

The purpose of molecular oncology clinical requisition is to facilitate personalized cancer care by identifying specific genetic mutations or biomarkers that can inform treatment decisions.

What information must be reported on molecular oncology clinical requisition?

Molecular oncology clinical requisition must include patient demographics, relevant medical history, specific molecular testing requested, and provider information.

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