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  • Brigham And Women's Hospital Patient Slide Consultation Request Form

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For the consultation and results can also be released to the p atient and designees, as listed below. Additionally, our o ffice acknowledges that the p atient is solely responsible for the consultation charges and should be billed accordingly. This form must be accompanied with a billing guarantor form that has been completed by the patient. Please send *Slides/Blocks *Pathology Report *Completed form *Attach insurance/demographic information Patient Information: Name: Gender (Please circle.

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Getting a second opinion is standard, and experienced doctors know and expect it. This doesn't mean that every doctor will be kind when you request a second medical opinion. A few may get offended, but it may be best to take your business elsewhere if this happens.

The Department of Pathology routinely provides second opinions on diagnostic materials prepared elsewhere. Second opinions may be sought by pathologists, clinicians at other institutions or patients. The request for second opinions can be addressed to the BWH Pathology Department, or to a specific pathologist on staff.

A patient may want a second opinion to confirm the diagnosis and understand the treatment options.

Seeking out a second opinion can help confirm your diagnosis, which can then help inform your treatment plan. You can also get second opinion on a biopsy to confirm results.

Per CPT guidance, a pathology clinical consultation is a service, including a written report, rendered by the pathologist in response to a request (eg, written request, electronic request, phone request, or face-to-face request) from a physician or other qualified health care professional that is related to clinical ...

Contact the pathology department where you will be getting a second opinion and find out exactly what the pathologist will need. Usually he or she will want the original tissue samples and any slides that were made after your biopsy or surgery.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232