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Clarinet Diagnostic Services 31 Columbia Also Video, CA 92656 (888) 4433311 Fax (888) 4433345 Surgical Pathology Requisition Highlighted areas are required billing information. Required Billing Information
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How to fill out surgical pathology requisition

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How to fill out surgical pathology requisition:

01
Start by providing your personal information such as name, contact details, and date of birth in the designated fields.
02
Next, specify the healthcare provider who is requesting the pathology requisition. Include their name, address, and contact information.
03
Fill in the specific patient details, including their name, date of birth, and medical record number if applicable.
04
Specify the reason for the surgical pathology requisition. This could be a diagnosis, treatment planning, or monitoring purposes.
05
Indicate the type of specimen being submitted for analysis. This could range from tissue samples obtained during surgery, biopsies, or other bodily fluids.
06
Include any relevant clinical history or information that can aid the pathologist in their evaluation. This may include previous diagnoses, treatments, or pertinent laboratory results.
07
If applicable, provide details about the surgical procedure, including the date, site, and surgeon's name.
08
Indicate any special instructions or requests regarding the analysis or reporting of the pathology results.
09
Ensure that the requisition is signed and dated by the healthcare provider who is responsible for the patient's care.

Who needs surgical pathology requisition:

01
Surgeons: Surgeons often require a surgical pathology requisition to obtain a detailed analysis of the removed tissue during a procedure, helping them make accurate diagnoses and treatment decisions.
02
Oncologists: Oncologists may request a surgical pathology requisition to determine the presence of cancerous cells, assess tumor markers, or monitor disease progression.
03
General practitioners: General practitioners may require a surgical pathology requisition to investigate unexplained symptoms, evaluate chronic conditions, or obtain a definitive diagnosis for their patients.
04
Other healthcare professionals: Various healthcare professionals such as dermatologists, gastroenterologists, and pulmonologists may also need surgical pathology requisitions to aid in diagnosing and managing specific conditions within their respective fields.
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The surgical pathology requisition is a form used to request pathology tests on tissue samples obtained from surgeries or procedures.
Surgeons or healthcare providers who perform surgeries or procedures are required to file the surgical pathology requisition.
The surgical pathology requisition is typically filled out by providing patient information, surgical details, specimen source, and requested pathology tests.
The purpose of the surgical pathology requisition is to ensure that proper tests are requested on tissue samples to aid in diagnosis and treatment planning.
Patient demographics, clinical history, specimen details, requested tests, and healthcare provider information must be reported on the surgical pathology requisition.
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