CARIS|COHEN Dx | CLIENT SERVICES | REPORT CORRECTION FORM

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REPORT CORRECTION FORM

Use this form to request adjustments to pathology reports.
Caris Cohen Dx strives for 100% accuracy, and when an error is found on a report, we pull the original requisition sheet to determine the source of the error. We carefully track the incidence of errors and educate our staff and clients accordingly about the origin of mistakes.

(* required fields)

* Your Name:

* Practice Name:

* Location:

* Specimen Number:

* Patient’s Last Name:

* Patient’s Date of Birth:

* Requested Change:

* Delivery Preference: (Select One):

Fax Copy ASAP

Deliver with Courier

No Copy Needed

Comments:

320 Needham Street, Suite 200, Newton, MA 02464
TEL 617.969.4100 • FAX 617.969.3393
EMAIL info@cariscohendx.com

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