Get Pathology Request Form - Bc Cancer Agency - Bccancer Bc 2020-2025
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How to fill out the Pathology Request Form - BC Cancer Agency - Bccancer Bc online
Filling out the Pathology Request Form for the BC Cancer Agency is a crucial step in ensuring timely processing of specimens. This guide provides clear, step-by-step instructions to help you accurately complete the form online.
Follow the steps to accurately fill out the form.
- Click the ‘Get Form’ button to obtain the form and open it in your editor.
- Provide the requesting physician's information. This includes entering the name, request date, phone number, and fax number of the physician making the request.
- Enter the patient information. You will need to fill in the patient’s name, personal health number (PHN), date of birth (formatted as DD/MM/YY), and the BC Cancer Agency number if applicable.
- Specify the diagnosis. You will indicate if the diagnosis is for colorectal cancer diagnosed at or below the age of 50 years.
- Indicate whether a peripheral blood sample has been requested and sent by checking 'YES' or 'NO'.
- Fill out the originating hospital information, providing the hospital name, hospital fax number, and date of procedure (DD/MM/YY).
- Document the date the requisition will be sent to the originating hospital (also formatted as DD/MM/YY).
- Ensure to review all entered information for accuracy. After verifying that everything is correct, you can save, download, print, or share the completed form as needed.
Complete the Pathology Request Form online today to expedite the processing of your specimens.
Pathology requisition forms are used by physicians to test organ, tissue and bodily fluid samples for disease diagnosis. Other samples collected include blood, oral fluid, semen, cervical fluid, pleural fluid, pericardial fluid and ascetic fluid.
Fill Pathology Request Form - BC Cancer Agency - Bccancer Bc
All fields must be completed LEGIBLY (patient demographics may be addressographed instead). Patient Name (Last, First). PHN. Send the completed requisition with the appropriate block(s) to the. Histopathology laboratory. Requisition and a copy of the pathology report. Send all to: Pathology Office - Room 3225. All fields must be completed LEGIBLY (Patient demographics must be filled in, if not addressographed). Patient Name (Last, First). Please read these instructions carefully before ordering a Cancer Genetics test. Clinical history must be provided.
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