CYTOPATHOLOGY SECOND OPINION

The cytopathologists at The Johns Hopkins Hospital are available for consultation on diagnostically challenging cytologic specimens.

The slides should be sent to the Division of Cytopathology (address below) along with the following information:

Virginia Cruise
The Johns Hopkins Hospital
Division of Cytopathology
412-D Pathology Building
600 N. Wolfe Street
Baltimore, MD 21287-6940
Telephone: (410) 955-3520

CONSULTATION BILLING AND REPORT INFORMATION

Due to the large volume of pathologic slides referred to The Johns Hopkins Hospital and the wide variety of reasons for such referrals, we must request that the following form, with all of the indicated information, accompany the slides and reports. Failure to complete and submit the form may result in delays in patient care and incomplete or inappropriate communication with the responsible and interested physicians.

This form, the appropriate clinical information and pathology reports must accompany slides referred for any reason to The Johns Hopkins Hospital or any member of the staff.

Party Initiating Consultation Request:

Referring Physician:

Address:

Name of Hospital or Laboratory slides sent from:

Phone:

Patient's Name:

Address:

Date of Birth:

Phone:

Insurance Information:

MANDATORY IF PATIENT IS OVER 65:

Medicare Number:

[Cytopathology Home]

Division of Cytopathology
Webmaster: Douglas Clark, M.D.
dclark@jhmi.edu
Johns Hopkins School of Medicine
Last updated: January 16, 2002