Client Survey

Help us to understand your Dermatopathology Laboratory experience and improve our service by taking a few minutes to respond to the following questions.

Do you send specimens/slides for testing to our Dermatopathology Laboratory?:

Biopsy: Technical Processing (Slide preparation only)

Biopsy: Routine Processing (Tissue processing and slide read)

Slide: Read (Slide read only)

Slide: Consult (Consultation slide read)

No, I do not currently send slides/specimens to the Dermatopathology Laboratory

Do you currently use Epic Link to view reports generated by the Dermatopathology Laboratory?:

Yes

If you would like information about the Epic Link connection for online access to the University of Utah electronic medical record, including patient results, please leave your contact information below.

City:

State:

ZIP Code:

Suite/Room #:

Phone:

Fax Number:

Email Address:

Practice Specialty:

Number of Physicians in Practice:

Number of Kits Requested:

Are the kits required by a specific date? (If yes, enter the date. If no, leave blank.):

Special Instructions i.e. no formalin vials needed:

Client Survey

Dermatology