Pediatric Pathology Consultation Services
To request an Anatomic Pathology Consultation, please complete the Anatomic Pathology Consult Requisition form in its entirety. This form MUST BE SIGNED by the ordering provider and MUST INCLUDE the following: First and last name of ordering provider Complete name of the office/facility including address, phone number, and fax number Billing directives: will the provider’s office receive the bill or will the patient’s insurance company If the patient’s insurance company is to be billed, include updated demographic information as well as the contact information for the insurance company...