Background: Histopathological requisition forms are a mode of communication between clinicians and pathologists. Incomplete requisition forms can significantly impact the quality of histopathological reports. Objective: To determine the degree of completeness of the requisition forms with respect to demographic data and clinical data. Materials and methods: Histopathological requisition forms submitted to the department of Pathology, Gadag Institute of Medical Sciences (GIMS), Gadag from January to December 2018 were evaluated for the completeness of the forms. The data was entered in excel sheet and completeness was assessed by measuring the ratio/percentage of complete cases to total cases. Results: Out of 760 requistion forms, 524 (68.94%) were complete with respect to demographic data. Out of the total 760 forms, 252 (33.15%) were complete with respect to clinical data. Three (0.39%) forms were incomplete with respect to the age. Six (0.78%) forms were incomplete with respect to sex. Clinician’s name was not mentioned in 104 (13.68%) forms. Five (0.65%) cases failed to mention outpatient/inpatient (OP/IP) number. Adequate clinical history and examination findings were not mentioned in 231 (30.3%) of forms and 74 (9.73%) of forms failed to mention clinical diagnosis. Conclusion: In the present study the level of completion of the requisition forms was suboptimal.

Keywords: Requisition forms; Histopathology.