Surgical pathology non-gyn cytology requisition - Catholic Medical - catholicmedicalcenter 2025

1. Click ‘Get Form’ to open the Surgical pathology non-gyn cytology requisition in the editor.
2. Begin by entering the patient's name, sex, and date of birth in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in the patient’s address, city, state, and zip code. This helps in maintaining proper communication regarding the specimen.
4. Complete the requesting doctor and referring/attending doctor sections. Providing accurate names ensures that all parties are informed.
5. In the insurance section, input primary and secondary insurance details along with policy numbers and subscriber information. This is essential for billing purposes.
6. For specimen information, specify collection date and time. Indicate whether it is a surgical pathology specimen or a fine needle aspiration.
7. Fill out any required fields marked with an asterisk, including ICD-9 codes and clinical history. Missing these may delay processing.

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