Get the free Cancer Cytogenetics Requisition Form - UT Southwestern Medical
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Cancer Cytogenetics Requisition Cytogenetics Laboratory 2330 Linwood Road, Suite EB3.304 Dallas, Texas 75390 LAB PHONE: 2146480975 LAB FAX: 2146480976 CUSTOMER SERVICE: 2146457057 TOLL FREE: 8778878136
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How to fill out cancer cytogenetics requisition form
How to fill out cancer cytogenetics requisition form:
01
Start by entering the patient's personal information, including their full name, date of birth, and contact details. This information is crucial for identification purposes.
02
Specify the referring physician or healthcare provider who is requesting the cytogenetics test. Include their name, contact information, and affiliation.
03
Indicate the reason for the test by providing relevant clinical information about the patient's medical history and current symptoms. This helps the laboratory understand the context and purpose of the test.
04
Select the appropriate specimen type for analysis, which is typically either blood or bone marrow. Other specimen types may be required depending on the specific case.
05
Provide information about the treating institution or hospital where the patient is receiving care. Include the name, address, and contact details.
06
Specify any special instructions or requirements for the laboratory, such as the need for rush or priority testing due to urgent medical conditions.
07
Include any relevant supporting documents or reports that may assist the laboratory in their analysis. This can include previous lab results, pathology reports, or genetic testing results.
08
Ensure that all necessary signatures and authorizations are obtained. This may include the patient's consent for testing and release of information, as well as the signature of the referring physician.
Who needs cancer cytogenetics requisition form:
01
Oncologists or hematologists who suspect or want to confirm a genetic component in a patient's cancer diagnosis may need to fill out a cancer cytogenetics requisition form.
02
Patients who are undergoing evaluation for cancer and require genetic testing to determine specific chromosomal abnormalities or genetic mutations may need this form.
03
Genetic counselors who work with cancer patients and their families to assess the risk of hereditary cancer may use a cancer cytogenetics requisition form to request testing.
Overall, the cancer cytogenetics requisition form is necessary for healthcare professionals involved in the diagnosis, treatment, and genetic assessment of cancer patients. It helps streamline the process of requesting and conducting cytogenetic testing, ensuring accurate and timely results for proper patient care.
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What is cancer cytogenetics requisition form?
The cancer cytogenetics requisition form is a document used to request cytogenetic testing to analyze chromosomes in cancer cells.
Who is required to file cancer cytogenetics requisition form?
Medical professionals such as oncologists, hematologists, or pathologists are required to file the cancer cytogenetics requisition form.
How to fill out cancer cytogenetics requisition form?
To fill out the cancer cytogenetics requisition form, the medical professional must provide patient information, clinical history, testing requested, and lab information.
What is the purpose of cancer cytogenetics requisition form?
The purpose of the cancer cytogenetics requisition form is to request cytogenetic testing to aid in the diagnosis and treatment of cancer.
What information must be reported on cancer cytogenetics requisition form?
The cancer cytogenetics requisition form must include patient demographics, clinical history, specific testing requested, and lab details.
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