Get Biopsy Request Form

Filling out the Biopsy Request Form accurately is essential for ensuring proper processing and analysis of animal tissue samples. This guide will provide you with step-by-step instructions on how to complete the form efficiently and correctly using an online platform.

Follow the steps to fill out the Biopsy Request Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the veterinarian's name in the designated field. This should include the veterinary professional who is requesting the biopsy.
3. Next, provide the animal's name in the corresponding field, ensuring that it matches the official records for accurate identification.
4. Fill out the clinic name, address, and contact information. Accurate clinic details help streamline communications regarding the biopsy process.
5. Indicate the species of the animal and specify its age for proper categorization.
6. Fill in the breed and sex of the animal, as these details are relevant for diagnostic purposes.
7. Enter the owner's name and contact information including phone number, fax, and email address for reporting back results.
8. Document the date the tissue was removed and indicate the location on the diagram if necessary.
9. Describe the tissue(s) submitted and provide details about the lesion size and appearance.
10. Address the margin evaluation by selecting either 'YES' or 'NO' and indicate if there was a previous biopsy.
11. Enter the previous UT Pathology Accession number if applicable and provide details regarding any previous diagnoses.
12. When completing the clinical signs section, include relevant history, clinical signs observed, test results, and treatments administered.
13. For the clinical diagnosis and/or comments, write any additional information that may aid in the biopsy evaluation.
14. Finally, the veterinarian must authorize the report by signing and dating the form at the designated area. Ensure all required fields are completed before proceeding.
15. Once all information is filled in, you can save changes, download the completed form, print it, or share it as needed.

Complete your Biopsy Request Form online now to ensure timely processing and care for your animal.