Pathology Consultation Request

Dear Doctor and Staff,

Thank you for contacting us.  In order to serve you and make best use of your time, please provide the information below.  Either the pathologist who rendered the diagnosis on the case or the laboratory director will return your request for a call at a time you have stated. In the event of a timely request, the lab administrative assistant can be reached at 845-368-7464.

IMPORTANT: Please do not include patient name or other identifying information on this form.