For Clinicians

• A cover letter summarizing the following:




• Patient’s pertinent clinical and pathologic history, their diagnoses, and any specific questions to be addressed;


• Contact information (name, phone, email) for the submitting clinical physician in case we need additional history;


• Contact information for your laboratory, in case we need to request more material;




• All pathology report(s); and


• All slides for each specimen, including all levels, stained slides and controls from ancillary testing, and as appropriate, blocks or unstained slides.

• Print a Pathology Consultation Requisition, and complete the form.


• On the requisition form, choose the type of consultation requested and list the number of slides and blocks being submitted.


• Provide the required documentation listed above, including reporting on ancillary testing and any other pertinent documents from the patient’s medical record not mentioned.


• If patient billing is requested, include patient demographic information, including insurance information. If unable to bill patient, the requesting client will be billed.


• Securely pack material in a padded packaging and plastic slide holders. If including a paraffin block, especially in warmer months, include an ice or gel pack to ensure that the blocks do not melt in transit.


• Send materials to the below address using your mail carrier (FedEx is preferred). Select 1-2 day shipping.

Specimen Requirement: Formalin-fixed paraffin-embedded tissue