Referred Slide

Clinical Data and History

From case history provided

Gross Description:

Received from (receiving facility) is/are (# slides) labeled with the accession number (#) and a corresponding surgical pathology report dated.

Microscopic Description:

Slides reviewed.

Outside Slides:  (Outside Case #)
Site, Labeled as " ", procedure (Outside Slides labeled)

Comment: 

These diagnoses correlate with those of the outside pathologists.

Slides returned per protocol.

Remember to:

1.  Make sure personal information is the same on inside and outside reports including:

•  Name

•  Birthday

•  Social Security (if included)

2.  Check to make sure slides are labeled correctly and documented correctly in our report.

3.  Make sure there are no misspellings in the report.