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???000001A TISSUE PATHOLOGY REQUISITION CUSTOMER SERVICE 1(866) 572.8452 or (252) 234.2841 FAX (252) 234.9270 2693B Forest Hills Road, Wilson, NC 27893 PHYSICIAN INFORMATION PATIENT INFORMATION Last
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How to fill out tissue pathology requisition
How to fill out a tissue pathology requisition:
01
Begin by obtaining a tissue pathology requisition form from your healthcare provider or laboratory. This form is typically necessary when submitting tissue samples for pathological examination and analysis.
02
Ensure that the requisition form includes all the required information. Common fields on a tissue pathology requisition form may include:
2.1
Patient information: Fill in the patient's full name, date of birth, gender, and any other relevant identifying details.
2.2
Clinical history: Provide a brief summary of the patient's medical condition or relevant symptoms that prompted the need for the tissue pathology examination.
2.3
Specimen details: Clearly indicate the type of tissue or organ that is being submitted for analysis. Include details like the site of biopsy, specific area of interest, or any additional information about the specimen that may aid in the examination.
2.4
Relevance and clinical question: Provide an explanation as to why the tissue pathology examination is necessary and what specific clinical question or concern is being addressed.
2.5
Requested tests or procedures: Specify the type of tests or procedures you are requesting, such as histopathological examination, immunohistochemistry, molecular analysis, or any other relevant diagnostic evaluations.
03
Follow any specific instructions provided by your healthcare provider or laboratory. This may include guidance on proper tissue sample collection, handling, preservation, or transport to ensure accurate analysis.
04
If applicable, provide relevant clinical images or radiology reports that may aid in the interpretation of the tissue pathology results. Attach any supporting documentation securely to the requisition form.
05
Review the completed requisition form for accuracy and completeness. Double-check all the information provided, including patient details, specimen details, and requested tests. Any errors or missing information could lead to delays or inaccuracies in the examination process.
Who needs tissue pathology requisition?
A tissue pathology requisition is typically required for individuals who need to submit tissue samples for pathological examination and analysis. This may include patients undergoing biopsies, surgeries, or other procedures where tissue specimens are obtained for diagnostic purposes.
Healthcare providers, such as physicians, surgeons, or oncologists, often initiate the need for a tissue pathology requisition when they suspect or want to confirm a certain diagnosis, assess disease progression, determine the presence of cancer, monitor treatment efficacy, or investigate any abnormalities observed in imaging studies or clinical examinations.
Laboratories and pathologists utilize the requisition form to accurately process and analyze the tissue samples, ensuring that appropriate tests are performed and results are interpreted in the context of the patient's clinical condition.
Ultimately, anyone who requires a tissue pathology examination and wishes to obtain relevant diagnostic information about a particular condition or disease may need to fill out and submit a tissue pathology requisition form.
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What is tissue pathology requisition?
Tissue pathology requisition is a form used to request a pathological examination of tissue samples.
Who is required to file tissue pathology requisition?
Medical professionals and healthcare providers are required to file tissue pathology requisition.
How to fill out tissue pathology requisition?
To fill out a tissue pathology requisition, provide patient information, sample details, clinical history, and reason for the examination.
What is the purpose of tissue pathology requisition?
The purpose of tissue pathology requisition is to diagnose diseases and conditions based on tissue sample analysis.
What information must be reported on tissue pathology requisition?
Patient details, sample source, clinical information, specimen type, and reason for examination must be reported on tissue pathology requisition.
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