Home
Forms Library
Center consultation form

Pathology Consultation Request Form - Moffitt Cancer Center 2025

center consultation form Preview on Page 1

See details

4.4 out of 5

27 votes

The document is a Pathology Consultation Request Form for Moffitt Medical Group at Moffitt Cancer Center, detailing the necessary information required from referring physicians, specimen details, patient information, and billing/insurance data. It emphasizes the importance of obtaining informed consent and pre-authorization for tests ordered, along with the responsibilities of the referring entity regarding payment.

Here's how it works

01. Edit your center consultation form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to rapidly redact Pathology Consultation Request Form - Moffitt Cancer Center online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for modifying your documents online. Adhere to this straightforward guide to edit Pathology Consultation Request Form - Moffitt Cancer Center in PDF format online at no cost:

Sign up and sign in. Create a free account, set a secure password, and proceed with email verification to start managing your forms.
Upload a document. Click on New Document and select the file importing option: add Pathology Consultation Request Form - Moffitt Cancer Center from your device, the cloud, or a protected URL.
Make changes to the sample. Take advantage of the upper and left panel tools to modify Pathology Consultation Request Form - Moffitt Cancer Center. Add and customize text, images, and fillable fields, whiteout unnecessary details, highlight the important ones, and provide comments on your updates.
Get your documentation accomplished. Send the form to other individuals via email, create a link for faster document sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail included.

Explore all the advantages of our editor right now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to get a second opinion from Moffitt Cancer Center?

Virtual Second Opinion Option at Moffitt Cancer Center No referral is necessary. To schedule an appointment or for more information about our services, please call 1-888-663-3488 or you can request an appointment online.

What is pathology consultation?

Per CPT guidance, a pathology clinical consultation is a service, including a written report, rendered by the pathologist in response to a request (eg, written request, electronic request, phone request, or face-to-face request) from a physician or other qualified health care professional that is related to clinical

What is the Moffitt Cancer Center scandal?

Specifically, the government alleged that from 2014 to 2020, Moffitt billed Medicare and other federal healthcare programs for services not covered by CMS rules governing reimbursement for care provided in connection with clinical research trials.

How to get treatment at Moffitt Cancer Center?

Floridas Top Choice for Cancer Care And, referrals are never required to access most of our services. To request an appointment with a member of our team, call 1-888-663-3488 or submit a new patient registration form online.

How do I email Moffitt Cancer Center?

Email patientinput@moffitt.org or call us at 813-745-3808 from 8 a.m. to 5 p.m. weekdays for assistance.

How to get a second opinion at Moffitt Cancer Center?

From there, well be able to confirm or rule out your initial diagnosis, and make a tailored recommendation for your treatment. To set up a time to get a second opinion from one of our expert oncologists, call 1-888-663-3488 or request an appointment online.

How do I get a second opinion at MSK?

Second opinions from world-renowned cancer specialists at MSK are informed by the latest evidence-based science and can give you peace of mind that you have the most accurate diagnosis and treatment plan, customized for you. To learn more about how to get a second opinion from MSK, call 844-298-6212.

Can you get a second opinion for cancer treatment?

You can get a second opinion even if you already had treatment. A second doctor can make recommendations for how your treatment will progress or may change.

Pathology Consultation Request Form - Moffitt Cancer Center 2025

Here's how it works