LSUHSC Pathology Services Forms
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Documentation is extremely important to quality patient care. Providing specific information will insure that specimens are handled appropriately and in a timely manner. Should you not find or need assistance in locating the appropriate form to utilize, please contact our LSUHSC Pathology Outreach Services Staff for assistance at 318-675-8481 or 888-252-3902.
                       
Consultation Forms Histology Forms
Cytogenetic Testing Forms Immunohistochemistry Forms
Cytology Forms Neuropathology Forms
Electron Microscopy Forms Molecular Pathology Forms
Flow Cytometry Forms Surgical Specimen Forms
General Lab Test Form Virology Forms
             
 
Consultation Forms
Clinical Pathology Consult - Simple
Clinical Pathology Consult - Complex    
Anatomic Pathology Consult    

Off-Site Visit (Document client site visit for billing)

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Cytogenetics Testing

   
  Cytogenetics Testing Request  
   
Used to request Cytogenetic testing. Please complete entire form. Should Flow Cytometry and/or Molecular Pathology testing be required on the same specimen, only one form need be completed.
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  Cytology Forms        
Fine Needle Aspiration Smears Review
GYN - Pap Smear Test Request
GYN - Thin Prep Pap Test Request
HPV Reflex on Thin Prep Test Request
Non-GYN Brushing and Smears Review Request
Non-GYN Fluid Cytology Review Request
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  Electron Microscopy Forms
Electron Microscopy Request
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Flow Cytometry Testing    
  Flow Cytometry Testing Request
   
Used to request Flow Cytometry testing. Please complete entire form. Should Cytogenetics and/or Molecular Pathology testing be required on the same specimen, only one form need be completed.
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Histology Forms    
Histology Stains Request
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Immunohistochemistry Forms
Immunohistochemistry Request
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Molecular Pathology Forms
Molecular Pathology Test Request
  Used to request Molecular Pathology testing. Please complete entire form. Should Cytogenetics and/or Flow Cytometry testing be required on the same specimen, only one form need be completed.
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Neuropathology Forms  
Muscle Biopsy Test Request - In-house Patient
Muscle Biopsy Test Request - All Other Patients
 
Surgical Specimen Forms
Surgical Specimen Review Request
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Virology Forms
Virology Test Request
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