Follow the steps to fill out the form accurately.

1. Press the ‘Get Form’ button to acquire the Download PDF and access it for completion.
2. Begin by providing the pertinent information about the referring doctor. Fill in the 'Referring Doctor' field with the name of the individual who is referring the specimen.
3. Enter the date on which you are filling out the form. This provides a record of when the request was made.
4. Fill in the patient's name in the designated section. This is crucial for identifying the specimen being submitted.
5. Provide the patient's date of birth. This information helps to confirm the patient's identity and is important for accurate record-keeping.
6. Select the patient's sex by marking the appropriate box (Male or Female).
7. Include a contact telephone number in the corresponding field. This allows the laboratory to reach you if they need further information.
8. Identify the collection centre for the specimen. Provide the name of the location where the sample will be collected.
9. If applicable, indicate any relevant RCC (Referral Centre Code) that differs from the collection centre.
10. Describe the site of the specimen along with any relevant clinical history. This section provides context that may aid in diagnosis.
11. Enter any additional clinical data, such as previous biopsy results or relevant imaging studies.
12. Specify the clinical diagnosis, which is essential for the laboratory's understanding of the specimen's purpose.
13. Select the type of specimen being submitted—large, medium, small, or miscellaneous—by marking the appropriate box.
14. If applicable, indicate any specific IHC markers or special stains required by marking the corresponding options.
15. Specify whether the histopath slides or blocks are for review and indicate whether fixation is adequate or inadequate.
16. Once you have completed all relevant sections of the form, ensure to review all provided information for accuracy.
17. Save any changes to the document before proceeding to download. You can download, print, or share the completed form as needed.

Complete the Download PDF - Dr Lal PathLabs online today to ensure your histopathology specimens are handled promptly and accurately.