What the dermatopathology requisition is for
It is the request and the clinical context for skin specimens sent to Dynacare’s pathologists. It carries the payer, how the tissue was taken, and what you suspect at each site. It doesn’t replace the general Ontario lab requisition used for blood work. Biopsies of other tissue go on the histopathology requisition.
Who completes it
The requisitioning clinician or practitioner completes the top of the form and each specimen row, then signs. The lab completes the gross description, the bottle count, and the professional and diagnostic codes.
How to fill in the requisition
Requisitioning clinician and patient
Enter your name, address, CPSO or other registration number, and a contact number for urgent results. Add copy-to clinicians if needed. Patient names go exactly as they appear on the health card, with the version code and expiry. Mark one payer: OHIP or insured, third party or uninsured, or WSIB.
Specimen collection information
Give the collection date and time and the time the specimen went into 10% neutral buffered formalin, or tick that it was the same as collection. Label every bottle with the patient’s name, date of birth, and tissue site.
Specimen rows
For each numbered specimen, give the anatomic site, tick the procedure (excision, punch, shave, curettage, Mohs, DIF or other), and add clinical information. A differential diagnosis and a note on margins or recurrence help the pathologist far more than “lesion”.
Signature
Sign and date the requisition.
Common reasons it’s delayed
- Bottle labels that don’t match the specimen numbers on the form.
- More than eight bottles on one requisition.
- Patient name that differs from the health card.
- No payer marked.
- No clinical information for a site.
Submitting and who pays
Send the requisition with the specimens to Dynacare through your usual courier pickup. The payer box decides billing: OHIP for insured patients, the third party or patient for uninsured work, or WSIB for a claim.