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DIVISION OF ANATOMIC PATHOLOGY Outreach Consult Requisition Form PathologyOutreachAP@texaschildrens.org Phone: 8328242250 Fax: 8328251032 REASON FOR REVIEWPATIENT INFORMATION 5 Patient Identifiers
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How to fill out request an anatomic pathology

01
Obtain the necessary request form from the healthcare provider or facility.
02
Fill out the patient's personal information such as name, date of birth, and medical record number.
03
Provide information on the specific tests or procedures being requested, including any relevant clinical history.
04
Make sure to sign and date the request form before submitting it to the pathology department.

Who needs request an anatomic pathology?

01
Healthcare providers such as doctors, surgeons, and oncologists who require detailed analysis of tissue samples for diagnosing diseases or monitoring treatment.
02
Patients who are undergoing procedures such as biopsies or surgeries and need the pathology department to analyze tissue samples for diagnostic purposes.
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A request for an anatomic pathology is a formal submission made by healthcare providers to obtain diagnostic testing and evaluations of tissue samples to identify diseases and conditions.
Typically, physicians or qualified healthcare providers who suspect a pathological condition in their patients are required to file a request for an anatomic pathology.
To fill out a request for an anatomic pathology, a healthcare provider should complete a designated form that includes patient information, details of the specimen, clinical history, and any specific tests requested.
The purpose of requesting an anatomic pathology is to facilitate accurate diagnosis and treatment planning by analyzing tissue and cellular samples.
Information that must be reported includes patient demographic details, specimen type, clinical information, specific tests requested, and the healthcare provider's information.
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