Follow the steps to successfully complete the requisition form.

1. Click ‘Get Form’ button to obtain the WA PhenoPath Requisition 0005 and open it in your preferred editor.
2. Begin filling out the specimen information section by entering the facility where the specimen was collected, including the name and address.
3. Specify the collection date and time, ensuring accuracy to assist in proper documentation.
4. Indicate if you are submitting multiple specimens by checking the appropriate options for pathology reporting.
5. Fill in the specimen ID and sublabel where applicable, and choose how the block(s), submitted stained slides, and report should be returned.
6. Complete the prognostic marker studies fixation section, selecting the type of fixative and fixation duration as required.
7. Provide patient information, ensuring to include their details accurately, such as date of birth and contact information.
8. Specify the billing information, making sure to select whether to bill insurance, the patient, or the requesting entity, and provide the necessary details.
9. Include the treating physician’s name for billing purposes and any necessary contact information for completing the form.
10. Document the clinical history and consult options, choosing the appropriate tests and services needed.
11. Review all sections to confirm the completeness and accuracy of the information entered.
12. Finally, save changes, then download, print, or share the requisition form as needed.

Complete your PhenoPath requisition forms online with confidence!