Get the free Histopathology Requisition

This document is a requisition form for histopathology services provided by SLUCare Pathology Laboratories. It captures vital patient information, specimen details, and laboratory codes for various tests and immunohistochemical stains.

How to fill out histopathology requisition

How to fill out histopathology requisition

1. Obtain the histopathology requisition form from the pathology department or online.
2. Fill in the patient's full name and identification number.
3. Provide the patient's date of birth and relevant clinical history.
4. Specify the specimen type (e.g., biopsy, resection) and anatomical site from which it was taken.
5. Indicate the urgency of the request (routine or STAT).
6. Include the referring physician's name and contact information.
7. Provide any specific instructions or questions for the pathologist.
8. Sign and date the requisition form, if required.

Who needs histopathology requisition?

1. Any healthcare provider who requires a tissue sample analysis for diagnosis.
2. Patients undergoing surgical procedures where tissue biopsy is performed.
3. Clinicians aiming to understand the nature of disease processes through pathological evaluation.

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What is histopathology requisition?

Histopathology requisition is a formal request for the examination of tissue samples by a pathologist to diagnose diseases based on microscopic examination.

Who is required to file histopathology requisition?

Typically, healthcare professionals such as doctors, surgeons, and other licensed practitioners who collect tissue samples for diagnostic purposes are required to file histopathology requisitions.

How to fill out histopathology requisition?

To fill out a histopathology requisition, provide patient information, clinical history, details of the specimen, any specific tests or diagnoses requested, and signature of the requesting physician.

What is the purpose of histopathology requisition?

The purpose of a histopathology requisition is to ensure the proper examination and analysis of tissue samples, aiding in the diagnosis and treatment of medical conditions.

What information must be reported on histopathology requisition?

The requisition must report the patient's name, date of birth, medical record number, specimen type, clinical history, physician's details, and any special instructions.