Get Pathology Request Form
How it works
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Open form follow the instructions
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Easily sign the form with your finger
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How to fill out the Pathology Request Form online
This guide provides comprehensive instructions on how to accurately complete the Pathology Request Form online. By following the outlined steps, you can ensure that all necessary information is provided clearly and effectively.
Follow the steps to successfully complete the Pathology Request Form.
- Click the ‘Get Form’ button to obtain the form and open it in your web browser.
- Begin filling out the applicant details section. Enter your UHG/HSN ID number, given name, surname, address, state, postcode, and date of birth. Ensure all information is accurate and up-to-date.
- In the pathology data entry section, indicate the doctor to whom a duplicate copy of the results should be sent by entering the doctor's name and fax number.
- Select the tests requested for life insurance purposes by marking an X in the corresponding boxes next to each test. Include any additional tests required under 'Other'.
- Complete the collector's instructions, noting any fasting requirements and the number of hours of fasting, if applicable.
- The collector must sign and certify the identification of the applicant, recording the type of identification provided. Ensure the collection time and signature of the examiner are included.
- Review the privacy statement and the patient/insurance applicant’s declaration. The applicant must sign and date the form to confirm consent for the analysis of the specimens.
- Once all sections are completed and reviewed, you can save changes, download, print, or share the form.
Complete the Pathology Request Form online now to ensure your results are processed efficiently.
How do I obtain these slides? Call the hospital where your biopsy or surgery was performed or where the tissue was sent. In most cases, you will speak to a pathology department. The pathology department may request that you sign a release for the slides.
Fill Pathology Request Form
We aim to make pathology ordering as easy as possible. Our standard request form and surgical audit form works with your practice management software. Below are our request forms. If you can't find the form you need or are insure of which form to use please call 020 8266 6510 (between hours of 8am to 8pm). SNP provides a library of PDF request forms. Completed forms may be sent via email or fax. Patient: I consent for my results to be stored in the iCM. TDL standard pathology request form.
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