Appendix B
Contributor’s Consultation Request Form Joint Pathology Center
As noted in the report text, the Joint Pathology Center uses a standardized form for obtaining clinical data associated with the specimens submitted to it for consultation. What follows is a reproduction of the version of this form posted to the JPC website (www.jpc.capmed.mil/docs/consultation_request_form.pdf) when the committee completed its work in mid-2012. The form is dated 03/30/2011.


This page intentionally left blank.