Lung Conference - Tumor Board Case Request

All fields are critical – incomplete forms will be returned.

mm/dd/yyyy
Medical Imaging - Only Listed Records Will Be Submitted

  • If left blank, only 2 most recent SCL images will be presented at conference.
  • Records from non-SCL facilities must be faxed to 303-425-2293.

Pathology

  • If left blank, only the 2 most recent pathology results available in SCL Health records will be presented at conference.
  • Records from non-SCL Health facilities must be faxed to 303-425-2293.
  • Submissions after deadline will result in pathologist commentary only and no images at conference.

Physician Presenting Case
Alternate Office Contact

Submissions deadline: 12 p.m. Wednesday the week of conference.

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