Dermatopathology Lab Requisition Form

What is a Dermatopathology Requisition Form?

Dermatopathology is the study of diseases relating to the skin, hair and nails. It focuses on diseases at the microscopic and molecular levels, including the potential causes of disease at a basic level. A dermatopathology requisition form is sent to a reference lab with samples to be tested. Upon completion, the physician reviews the results to provide a diagnosis and appropriate treatment options.

A Dermatopathology Requisition Form Includes:

  • Specimen type
    • Shave
    • Punch
    • Excision
  • Gross description of specimen
  • Diagnosis description

Dermatopathology Requisition Forms Identify:

  • Actinic Keratosis
  • Ballous Pemphigoid
  • Basal Cell Carcinoma
  • Common Cutaneous Tumors
  • Dermatofibroma
  • Eczema
  • Epidermoid and Pillar Cysts
  • Granuloma Annulare
  • In Situ Squamos Cell Carcinoma
  • Invasive Squamos Cell Carcinoma
  • Lentigo
  • Lichen Planus
  • Melanocytic Naevus
  • Melanoma
  • Seborrheic Keratosis
  • Psoriasis
  • Vasuclitis

We offer several custom medical forms and lab requisition forms with design options and features tailored to your unique needs. Our clients include Drug Treatment Centers, General & Reference Labs, Home Health, Hospitals, Nursing Homes, Physicians & Providers, Wellness Centers & Clinics, and Nutritionists.

  • Custom Branding with your Logo
  • Tailored Layout Design
  • Multi-Part NCR Forms
  • 2-D Barcoding
  • Serialized Numbering
  • Integrated Labeling with Custom Die Design
  • Several Page Colors Available
  • Thousands of Pantone Ink Colors Available

Who We Are

Forms.MD specializes in the design & printing of custom requisition forms, custom integrated label form, and chain of custody forms, general printing, medical website design, branding and logo design, internet marketing, and Local Search Engine Optimization (Medical SEO). Our team of experienced professionals has worked with hundreds of small to enterprise level business on projects ranging from multi-site web development to national branding to product development. We value customer service and support above all. Contact us today!

Our Lab Requisition Forms Include: