Pathology request form - BC Cancer Agency - bccancer bc 2026

1. Click ‘Get Form’ to open the Pathology request form in the editor.
2. Begin by filling out the 'Requesting Physician' section, including your name, phone number, and fax number. This information is crucial for communication.
3. Next, enter the patient's details: their name, Personal Health Number (PHN), date of birth, and BCCA number if available.
4. Indicate the diagnosis by selecting 'Colorectal Cancer diagnosed ≤50y' and confirm whether a Peripheral Blood Sample has been requested and sent.
5. Provide details about the originating hospital, including its name and fax number. Also, fill in the date of procedure.
6. Finally, review all entered information for accuracy before submitting. Once completed, fax the form directly to the originating hospital's pathology department.

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