Get The Joint Pathology Center 100496.79 2021-2025

This guide provides comprehensive and user-friendly instructions on how to fill out The Joint Pathology Center 100496.79 form online. Following these steps will ensure accurate submission of cases and facilitate timely processing.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to acquire the form and open it for editing.
2. Fill in the submitting facility's name, complete address, and the pathologist's contact details, including phone number and email address. Ensure the information is consistent across all submissions.
3. Provide the laboratory specimen number using at least two identifiers per specimen, ensuring accuracy with all accompanying documents.
4. Complete the patient’s full name with the last name first, including the middle initial.
5. Enter the patient's social security number and DOD identification number for proper identification.
6. Include the patient's date of birth or estimated age if the date of birth is unavailable.
7. Indicate the patient's sex as stated in the medical record.
8. Specify the patient's race/ethnicity as required.
9. If applicable, add the previous JPC Accession Number to help correlate previous submissions.
10. Attach a detailed summary of the clinical history, including symptoms, duration, lesion details, diagnosis, and treatments. This can be included in a separate document.
11. Include a copy of the surgical or pathology report and ensure it contains all necessary details of the case.
12. Prepare accompanying materials properly, including microscopic slides, paraffin blocks, or wet tissues, ensuring they are labeled with identifiers.
13. Review all entered information for accuracy and consistency across all document fields.
14. Upon completion, save changes, download your form, and you may print or share it as required.

Begin filling out your forms online to ensure efficient processing of your submissions.